Organization Active NPI

Christine Cooley Family Health, NP, PLLC

  • Family Nurse Practitioner
  • Troy, NY
National Provider Identifier
1548925647
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CHRISTINE COOLEY FAMILY HEALTH, NP, PLLC
Practice address
500 Federal St Ste 650
Troy, NY 12180-2867
Phone
(518) 441-8720
Fax
(518) 278-4057
NPI assigned
Nov 3, 2021
Last updated
Nov 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Authorized official

Name
Christine M Cooley, FNPNPI 1134133283
Title
Owner
Phone
(518) 669-3245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

500 Federal St Ste 650
Troy, NY 12180-2867

Mailing address

500 Federal St Ste 650
Troy, NY 12180-2867
Phone (518) 441-8720

Other identifiers 2

IdentifierTypeStateIssuer
1548925647OtherNYNGS.MEDICARE
02326543MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL provider.kareo.com/chriscooley Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211122000454 NY Part B Supplier - Clinic/Group Practice 7911396502 Receives reassigned benefits from 1 practitioner
Practice locations: Troy, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2253254Christine Cooley Family Health NP PLLC500 Federal Street Suite 650, Troy, NY 12180Certificate of waiverFeb 17, 2028

National Provider Directory

National Provider Directory

Locations

500 Federal St
Ste 650
Troy, NY 12180
Phone (518) 441-8720

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1548925647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FEDERAL ST STE 650",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802867",
            "telephone_number": "518-441-8720",
            "fax_number": "518-278-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FEDERAL ST STE 650",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802867",
            "telephone_number": "518-441-8720",
            "fax_number": "518-278-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE COOLEY FAMILY HEALTH, NP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-669-3245",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NGS.MEDICARE",
            "identifier": "1548925647",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02326543",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "provider.kareo.com/chriscooley",
            "affiliation": "N",
            "endpointDescription": "direct to EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure Fax 518-278-4057",
            "address_1": "500 Federal St Ste 650",
            "city": "Troy",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121802867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.