Amy E Cooley, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2017038958 Issued in MO

Practice address

1225 S. Grand
Door 3
St. Louis, MO 63104-6310

Phone

(314) 977-5110

NPI assigned

Nov 5, 2017

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

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1509840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1629580246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 CHEROKEE TRAIL LN",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630317426",
            "telephone_number": "618-581-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 S. GRAND",
            "address_2": "DOOR 3",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "631046310",
            "telephone_number": "314-977-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-05",
        "last_updated": "2025-09-12",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2017038958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI STATE BOARD OF NURSING",
            "identifier": "2017038958",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acooley383797@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "acooley383797@direct-ehr-ssmhc.com",
            "address_1": "1225 S. Grand",
            "address_2": "door 3",
            "city": "St. Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631046310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1225 S. Grand",
            "address_2": "door 3",
            "city": "St. Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631046310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rhonda Kaylynn Cooke, MD
• Sophia Cooke
• Twana Lee Cooks-Allen, PHD LCSW LMFT
• Shelby Cooksey, RBT
• Austin Coolbaugh
• Elizabeth Chetelat Cooley, PHARMD
• Kristin Cooley
• Ryan Cooley
• Sarah Renee Cooley, ACNP
• Shannon Tyisha Natasha Coombs, MD

• All providers in St. Louis, MO
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.