Active NPI
Christine Cooley Family Health, NP, PLLC
- Family Nurse Practitioner
- Troy, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine M Cooley, FNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548925647 | Other | NY | NGS.MEDICARE |
| 02326543 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | provider.kareo.com/chriscooley | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2253254 | Christine Cooley Family Health NP PLLC | Certificate of waiver | Feb 17, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Troy, NY
- NPI 1134133283
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.