Individual provider Active NPI

Jennifer Elaine Cooper, MSCCCA

  • Audiologist-Hearing Aid Fitter
  • Lees Summit, MO
National Provider Identifier
1528040227
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
118465 Issued in MO
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

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
22494034OtherMOBCBS

Other names 1

  • Mrs. Jennifer Elaine Dann Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060508000248 MO Practitioner - Qualified Audiologist 1153338744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1947KSMDClinical Child & Adolescent Psychologist
118465MOMDAudiologist

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.

Verify at the official NPI Registry.