Active NPI
Bobbi Yvonne Cooper, LMP
- Specialist
- Marysville, WA
National Provider Identifier
1497800429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00015609
- Practice address
- 8821 51St Ave NE
Marysville, WA 98270-2605 - Phone
- (360) 653-3140
- Fax
- (360) 657-4103
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA00015609 | WA | Primary |
Addresses
Primary practice location
8821 51St Ave NE
Marysville, WA 98270-2605
Mailing address
512 Avenue C # a
Snohomish, WA 98290-2428
Phone (425) 418-4103
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00015609 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497800429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 AVENUE C # A",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982902428",
"telephone_number": "425-418-4103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8821 51ST AVE NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982702605",
"telephone_number": "360-653-3140",
"fax_number": "360-657-4103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "BOBBI",
"middle_name": "YVONNE",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00015609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.