Individual provider Active NPI

Alyson Trovato Cooper, P.A.-C

  • Medical Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1508117367
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110003995 Issued in VA
Practice address
1201 Lake James Dr
Suite 200
Virginia Beach, VA 23464-6780
Phone
(757) 523-0022
Fax
(888) 411-0570
NPI assigned
Sep 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110003995 VA Primary

Addresses

Primary practice location

1201 Lake James Dr
Suite 200
Virginia Beach, VA 23464-6780

Mailing address

1201 Lake James Drive
Suite 200
Virginia Beach, VA 23464-6780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140415001139 VA Practitioner - Physician Assistant 3173755618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

1024 1St Colonial Rd
Virginia Beach, VA 23454-3074
Phone (757) 395-2500

1080 1St Colonial Rd
Virginia Beach, VA 23454-2406

830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860

850 Kempsville Rd
Norfolk, VA 23502-3920

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince Sep 4, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 29, 2016 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 29, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8644 Sudley Rd
#220
Manassas, VA 20110

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1201 Lake James Dr
Ste 200
Virginia Beach, VA 23464
Phone (757) 523-0022

1024 First Colonial Rd
Ste 102
Virginia Beach, VA 23454
Phone (757) 321-4030

5460 Wesleyan Dr
Virginia Beach, VA 23455
Phone (757) 252-3050

813 Independence Blvd
Ste A
Virginia Beach, VA 23455
Phone (757) 301-7729

5320 Providence Rd
Ste 301
Virginia Beach, VA 23464
Phone (757) 413-7600

Interoperability endpoints

  • Direct secure messaging: acooper131476@direct.sentara.net

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1508117367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 LAKE JAMES DRIVE",
            "address_2": "SUITE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 LAKE JAMES DR",
            "address_2": "SUITE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646780",
            "telephone_number": "757-523-0022",
            "fax_number": "888-411-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ALYSON",
        "middle_name": "TROVATO",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.