Delvonta D Cooper

Individual provider Active NPI Attendant Care Provider · Beaverdam, VA

NPI 1487575833 · NPPES record last updated Jul 22, 2026

Key facts

NPI
1487575833
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
14422 Old Ridge Rd
Beaverdam, VA 23015-1604
Phone
(804) 844-6934
NPI assigned
Jul 22, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X VA Yes

Addresses

Primary practice location

14422 Old Ridge Rd
Beaverdam, VA 23015-1604

Mailing address

14422 Old Ridge Rd
Beaverdam, VA 23015-1604
Phone (804) 844-6934

Other names

  • Shawntay M Cooper Other name

Other providers in Beaverdam, VA

All providers in Beaverdam, VA · Attendant Care Provider in Virginia

Sources for this page

Verify at the official NPI Registry.