Gennifer Cooper

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

2315 Jo Haywood Dr
Fort Pierce, FL 34946-1628

Phone

(772) 323-3345

NPI assigned

Nov 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1619632486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 JO HAYWOOD DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349461628",
            "telephone_number": "772-323-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 JO HAYWOOD DR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349461628",
            "telephone_number": "772-323-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "GENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Contrera, LCSW
• Lourdes Contreras, LCSW
• Conviva Medical Center Management LLC
• Candace Cook-Bailey
• Sheree Coombs
• Leslie Ann Cooper, PA-C
• Paul Copeland, PH.D.
• Nancy Ann Coppola, LCSW, CAP
• Coquelet and Punger Family Medicine PA
• Erica Correa, MS, CCC-SLP

• All providers in Fort Pierce, FL
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.