Individual provider Active NPI

Cindy L. Cooper, RN, AE-C

  • Registered Nurse
  • Camas, WA
National Provider Identifier
1538315734
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00077876 Issued in WA
Practice address
821 NW Fremont St
Camas, WA 98607-9376
Phone
(360) 567-3984
Fax
(360) 567-3985
NPI assigned
Aug 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00077876 WA Primary
Registered Nurse 163W00000X 200840657RN OR

Addresses

Primary practice location

821 NW Fremont St
Camas, WA 98607-9376

Mailing address

19215 SE 34TH St Ste 106
PMB 379
Camas, WA 98607-8830
Phone (360) 567-3984

Other names 1

  • Cindy L. Brown/Bush Former name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
200840657RNORMDRegistered Nurse
RN00077876WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Asthma Education Centers of America, Inc. Registered Nurse Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218067200000",
    "number": "1538315734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19215 SE 34TH ST STE 106",
            "address_2": "PMB 379",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986078830",
            "telephone_number": "360-567-3984",
            "fax_number": "360-567-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 NW FREMONT ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986079376",
            "telephone_number": "360-567-3984",
            "fax_number": "360-567-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CINDY",
        "middle_name": "L.",
        "credential": "RN, AE-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00077876",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "200840657RN",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "BROWN/BUSH",
            "middle_name": "L.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camas, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.