Nicole Cooper

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

317928 Issued in NY

Practice address

130 Whitford Rd
Westtown, NY 10998-3524

Phone

(845) 590-1681

NPI assigned

Dec 20, 2018

Last updated

Dec 20, 2018By 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

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": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1508338161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WHITFORD RD",
            "city": "WESTTOWN",
            "state": "NY",
            "postal_code": "109983524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WHITFORD RD",
            "city": "WESTTOWN",
            "state": "NY",
            "postal_code": "109983524",
            "telephone_number": "845-590-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "317928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jude Alfred, NP
• Jessica Asia, LCSW
• Jessica J Briecke, LMT
• Erin Jean Egresitz
• Larry E. Fields, M.D.
• David Andrew Freda
• Chelsea Hagans-Lynch
• Marian Hammaren

• Licensed Practical Nurse in Westtown, NY
• Providers in Westtown, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.