Elisabeth Lorene Cooper

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2019028699 Issued in MO

Practice address

300 Floyd Dr
Sikeston, MO 63801-3960

Phone

(573) 472-0397

NPI assigned

Aug 24, 2021

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kenny Rogers Children'S Center

  • Occupational Therapy Assistant
  • Sikeston, MO
  • NPI 1013026194
  NPD (past)
• Mercy Clinic Children'S Surgery, LLC

  • Pediatric Surgery Physician
  • St. Louis, MO
  • NPI 1649349804
  NPD (past)

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1497422943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FLOYD DR",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638013960",
            "telephone_number": "573-472-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FLOYD DR",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638013960",
            "telephone_number": "573-472-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ELISABETH",
        "middle_name": "LORENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2019028699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "@kennyrogerscenter.org",
            "affiliation": "N",
            "address_1": "300 Floyd Dr",
            "city": "Sikeston",
            "state": "MO",
            "country_code": "US",
            "postal_code": "638013960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Compassionate Care Home Services
• Continu-Care
• Continu-Care Home Maker Service Inc
• Continue Care Home Maker Services Inc.
• Jennifer Elaine Cook, COTA/L
• Margaret Rachel Coppage, FNP
• Lindsey Ballard Corlew, PHARM D
• Heather Katherine Cox, MSW, LCSW
• Samuel Thomas Cox
• Kylie Suzanne Crader

• All providers in Sikeston, MO
• Occupational Therapy Assistant in Missouri

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