Active NPI
Sandra Renee Cooper, RPSGT
- Other Specialist/Technologist
- Fort Hood, TX
National Provider Identifier
1679938872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- 13706
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 13706 | FL | MD | Other 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.