Individual provider Active NPI

Sandra Renee Cooper, RPSGT

  • Other Specialist/Technologist
  • Fort Hood, TX
National Provider Identifier
1679938872
Registry record updated Dec 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
License
13706 Issued in FL
Practice address
761 Tank Battalion
BLDG. 412
Fort Hood, TX 76544-4906
Phone
(254) 553-7720
Fax
(254) 553-7724
NPI assigned
Dec 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X 13706 FL Primary

Addresses

Primary practice location

761 Tank Battalion
BLDG. 412
Fort Hood, TX 76544-4906

Mailing address

4716 Glass Mountain Dr
Killeen, TX 76542-8355
Phone (352) 321-1732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13706FLMDOther Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1679938872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 GLASS MOUNTAIN DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765428355",
            "telephone_number": "352-321-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 TANK BATTALION",
            "address_2": "BLDG. 412",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765444906",
            "telephone_number": "254-553-7720",
            "fax_number": "254-553-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "SANDRA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "RPSGT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "FL",
            "license": "13706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Hood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.