Shauntae T Cooper, MASTER COSMETOLOGIST

Primary specialty

SpecialistTaxonomy code 174400000X

License

CO126617 Issued in GA

Practice address

218 W Victory Dr Ste 9
Savannah, GA 31405-1718

Phone

(912) 231-7445

NPI assigned

Apr 3, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• SJ Cooper, LLC

  • Specialist
  • Savannah, GA
  • NPI 1942052816
  NPD Authorized official

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1609628577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W 40TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314158707",
            "telephone_number": "912-604-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W VICTORY DR STE 9",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314051718",
            "telephone_number": "912-231-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "SHAUNTAE",
        "middle_name": "T",
        "credential": "MASTER COSMETOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "CO126617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamal Mario Cooper, BCABA
• Janiah Cooper, NURSING ASST.
• Kale Cooper, LMSW
• Karen Elaine Cooper, DDS
• Philip Wendell Cooper Jr., D.D.S.
• Siarah Cooper
• Suzanne Waltman Coote, LCSW
• Cootecare Counseling
• Julie Copeland, RRT
• Korey Copeland, RPH

• Specialist in Savannah, GA
• Providers in Savannah, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.