Lisa D Cooper, R.N.

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

3265292 Issued in FL

Practice address

8501 SW 25TH CT
Miramar, FL 33025-2928

Phone

(786) 269-4386

NPI assigned

Dec 2, 2015

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Recoop Nurse Registry LLC

  • Developmental Disabilities Clinic/Center
  • Miami Gardens, FL
  • NPI 1225641921
  NPD Authorized official

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1639544547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8501 SW 25TH CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252928",
            "telephone_number": "786-269-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 SW 25TH CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330252928",
            "telephone_number": "786-269-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "LISA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "3265292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charley Anthony Constant
• Contract Health Co LLC
• Hugueth Contreras, DPT
• Janette Contreras, BEHAVIOR TECHNICIAN
• Brittany Lee Conway, AUD
• Ronnette Coote, APRN
• Cora Investments LLC
• Coradin Health LLC
• David Armando Coradin, M.D.
• Victoria Coraglio, M.D.

• Community Health Registered Nurse in Miramar, FL
• Providers in Miramar, FL by specialty
• Community Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.