Individual provider Active NPI

Toni L. Cooper, RN, MSN, CDE

  • Diabetes Educator Registered Nurse
  • Jackson, MS
National Provider Identifier
1477872273
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
R501069 Issued in MS
Practice address
1040 River Oaks Dr
Ste. 302
Jackson, MS 39232-9530
Phone
(601) 939-9923
Fax
(601) 939-9924
NPI assigned
May 19, 2010
Last updated
May 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X R501069 MS Primary

Addresses

Primary practice location

1040 River Oaks Dr
Ste. 302
Jackson, MS 39232-9530

Mailing address

1040 River Oaks Dr
Ste. 302
Jackson, MS 39232-9530
Phone (601) 939-9923

Other identifiers 1

IdentifierTypeStateIssuer
R501069OtherMSLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R501069MSMDDiabetes Educator Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1477872273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 RIVER OAKS DR",
            "address_2": "STE. 302",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392329530",
            "telephone_number": "601-939-9923",
            "fax_number": "601-939-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 RIVER OAKS DR",
            "address_2": "STE. 302",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392329530",
            "telephone_number": "601-939-9923",
            "fax_number": "601-939-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "TONI",
        "middle_name": "L.",
        "credential": "RN, MSN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MS",
            "license": "R501069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "R501069",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.