Coolwaters Foundation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

7000000313 Issued in PA

Legal business name

COOLWATERS FOUNDATION

Practice address

4601 Locust LN
Ste:305
Harrisburg, PA 17109-4444

Phone

(717) 657-3976

NPI assigned

Aug 3, 2016

Last updated

Aug 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ester N Mbaya, M.D

Title

President

Phone

(858) 245-8327

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1689127961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 LOCUST LN",
            "address_2": "STE:305",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094444",
            "telephone_number": "717-657-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 LOCUST LN",
            "address_2": "STE:305",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094444",
            "telephone_number": "717-657-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOLWATERS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "MBAYA",
        "authorized_official_first_name": "ESTER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-245-8327",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "7000000313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000000313",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lanelle Louise Cook, CRNP
• Laura Cook, LSW
• Leigh Anne Cook, PT
• Cool Waters, LLC
• Yazmine Cooley
• Christian Michael Cooney
• Melissa S Cooney, LSW
• Deborah Cooper
• Samantha Katherine Cooper, DO
• Julie Lyn Cope

• Durable Medical Equipment & Medical Supplies in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.