Active NPI
Kathleen M. Cooney, CPNP
- Pediatric Nurse Practitioner
- Greenbelt, MD
National Provider Identifier
1528181690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- R076601
- Practice address
- 7525 Greenway Center Dr
Suite 110
Greenbelt, MD 20770-3509 - Phone
- (301) 220-1200
- Fax
- (301) 474-5590
- NPI assigned
- Apr 6, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R076601 | MD | Primary |
Addresses
Primary practice location
7525 Greenway Center Dr
Suite 110
Greenbelt, MD 20770-3509
Mailing address
7525 Greenway Center Dr
Suite 110
Greenbelt, MD 20770-3509
Phone (301) 220-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05047 | Medicaid | MD |
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
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R076601 | MD | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205971200000",
"number": "1528181690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7525 GREENWAY CENTER DR",
"address_2": "SUITE 110",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703509",
"telephone_number": "301-220-1200",
"fax_number": "301-474-5590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7525 GREENWAY CENTER DR",
"address_2": "SUITE 110",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703509",
"telephone_number": "301-220-1200",
"fax_number": "301-474-5590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COONEY",
"first_name": "KATHLEEN",
"middle_name": "M.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2008-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "R076601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05047",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.