Lori Cooper, RN
Individual provider Active NPI Community Health Registered Nurse · Cortez, CO
NPI 1609906130 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1609906130
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 107807 (CO)
- Practice address
- 106 W North St
Cortez, CO 81321-3119 - Phone
- (970) 565-3056
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107807 | CO | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montezuma County Health Department | Past | Accepting new patients | |
| Montezuma County Health Department | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 107807 | CO | Yes |
Addresses
Primary practice location
106 W North St
Cortez, CO 81321-3119
Mailing address
26518 Road R
Dolores, CO 81323-9274
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07007800 | Medicaid | CO |
Other providers in Cortez, CO
- Melissa Churchill
- Mindi A Clark
- Pamela Kay Clark
- Kari B Cockrill
- Crysta Connell
- Donna Corb
- Maria Anne Cornelius
- Cornerstone Total Care, PC
- Cortez Addictions Recovery Services
- Cortez Addictions Recovery Services
All providers in Cortez, CO · Community Health Registered Nurse in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.