Laura Maureen Cooper, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

345129 Issued in NY

Practice address

5 Terry LN
Blauvelt, NY 10913-1515

Phone

(845) 664-8803

NPI assigned

Feb 26, 2021

Last updated

Feb 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1497349732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TERRY LN",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131515",
            "telephone_number": "845-664-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 TERRY LN",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131515",
            "telephone_number": "845-664-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "LAURA",
        "middle_name": "MAUREEN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "8456648803",
            "affiliation": "N",
            "endpointDescription": "cell",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Cell",
            "address_1": "5 Terry Ln",
            "city": "Blauvelt",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109131515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cara Cicalo, MS, RD
• Francesca Clement
• Complete Chiropractic Care, PC
• Diane Conklin
• Chris Constance Jr., LCSW
• Byung Ho Dang, DPT
• Junia Daniel
• Annalisa Carollo De Rojas
• Megan E Delcampo, OTR
• Brooke Demarsico

• Family Nurse Practitioner in Blauvelt, NY
• Providers in Blauvelt, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.