Active NPI
Jennifer Elaine Cooper, MSCCCA
- Audiologist-Hearing Aid Fitter
- Lees Summit, MO
National Provider Identifier
1528040227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 118465
- Practice address
- 1741 NE Douglas St Ste 101
Lees Summit, MO 64086-4704 - Phone
- (816) 415-3233
- Fax
- (816) 415-3234
- NPI assigned
- Nov 17, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 118465 | MO | |
| Audiologist-Hearing Aid Fitter | 237600000X | 1947 | KS | |
| Audiologist-Hearing Aid Fitter | 237600000X | 118465 | MO | Primary |
Addresses
Primary practice location
1741 NE Douglas St Ste 101
Lees Summit, MO 64086-4704
Mailing address
2101 Liberty Dr
Liberty, MO 64068-7720
Phone (816) 415-3233
Other practice location 1
19049 E Valley View Pkwy
Independence, MO 64055-7026
Phone (816) 415-3233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22494034 | Other | MO | BCBS |
Other names 1
- Mrs. Jennifer Elaine Dann
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060508000248 | MO | Practitioner - Qualified Audiologist | 1153338744 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1947 | KS | MD | Clinical Child & Adolescent Psychologist |
| 118465 | MO | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1528040227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 LIBERTY DR",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640687720",
"telephone_number": "816-415-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1741 NE DOUGLAS ST STE 101",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640864704",
"telephone_number": "816-415-3233",
"fax_number": "816-415-3234"
}
],
"practiceLocations": [
{
"address_1": "19049 E Valley View Pkwy",
"address_purpose": "LOCATION",
"city": "Independence",
"state": "MO",
"postal_code": "640557026",
"country_code": "US",
"telephone_number": "816-415-3233",
"fax_number": "816-415-3234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOPER",
"first_name": "JENNIFER",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "MSCCCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-17",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MO",
"license": "118465",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "KS",
"license": "1947",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MO",
"license": "118465",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "22494034",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "DANN",
"middle_name": "ELAINE",
"prefix": "MRS.",
"credential": "MSCCCA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.