Stanley Cooper Jr., D.I.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

6400 Brentwood Dr
Apt. 5
Paducah, KY 42003-9619

Phone

(270) 227-3194

NPI assigned

Sep 13, 2012

Last updated

Jul 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1609126085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 BRENTWOOD DR.",
            "address_2": "APT. 5",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42003",
            "telephone_number": "270-227-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 BRENTWOOD DR",
            "address_2": "APT. 5",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420039619",
            "telephone_number": "270-227-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "STANLEY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "D.I.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-13",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Carolyn Cooper, RNC,ARNP
• Emrie Claire Cooper, MSOT
• Felicia Cooper
• Jennifer Amanda Cooper, PHARMD
• Kimberly Cooper, PSS
• Susan Nicole Copass, PHARMD
• Whitney K Cope, AU.D.
• Janet M Copeland, PT
• Core Physical Therapy LLC
• Amanda Corley, COTA/L

• Case Manager/Care Coordinator in Paducah, KY
• Providers in Paducah, KY by specialty
• Case Manager/Care Coordinator in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.