Individual provider Active NPI

Kathleen A Cooper, PA

  • Physician Assistant
  • Vernon, CT
National Provider Identifier
1689724841
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5389 Issued in CT
Practice address
35 Talcoltville Rd Suite 1
Vernon, CT 06066-5261
Phone
(860) 870-6370
NPI assigned
Jan 11, 2007
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2079 MA
Physician Assistant 363A00000X 5389 CT Primary

Addresses

Primary practice location

35 Talcoltville Rd Suite 1
Vernon, CT 06066-5261

Mailing address

Lahey Clinic
41 Mall Rd.
Burlington, MA 01805-0001
Phone (781) 744-8000

Other practice location 1

67 S Bedford St Ste 202E
Burlington, MA 01803-5141
Phone (781) 744-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060127000590 MA Practitioner - Physician Assistant 5395759427 Reassigns benefits to 1 organization
I20210918000021 CT Practitioner - Physician Assistant 5395759427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group IncGroup PAC ID 1153573902, 257 clinicians

Practice addresses (Care Compare)

256 N Main St
Manchester, CT 06042-2004
Phone (860) 696-2290

35 Talcottville Rd
Vernon, CT 06066-5261
Phone (860) 870-6385

55 Meriden Ave
Suite 1D
Southington, CT 06489-3239
Phone (860) 276-5144

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as apm
Quality
83.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2079MAMDPodiatrist
5389CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc Physician Assistant CurrentSince Nov 1, 2021 Accepting new patients
Lahey Clinic, Inc CurrentSince Sep 30, 2016 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Past Accepting new patients
Hartford Healthcare Medical Group, Inc Past Accepting new patients

Locations

256 N Main St
Manchester, CT 06042
Phone (860) 646-8595

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

74 Mack St
Ste 4
Windsor, CT 06095
Phone (860) 242-8756

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

67 S Bedford St
Ste 202E
Burlington, MA 01803
Phone (781) 744-7000

16 Hayden Ave
Lexington, MA 02421
Phone (781) 372-7060

Interoperability endpoints

  • Direct secure messaging: kathleen.cooper@xdr.hhchealthdirect.org
  • Direct secure messaging: kcooper9907@direct.bilh.masshiway.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1689724841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAHEY CLINIC",
            "address_2": "41 MALL RD.",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018050001",
            "telephone_number": "781-744-8000",
            "fax_number": "781-744-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 TALCOLTVILLE RD SUITE 1",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665261",
            "telephone_number": "860-870-6370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 S Bedford St Ste 202E",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "MA",
            "postal_code": "018035141",
            "country_code": "US",
            "telephone_number": "781-744-7000",
            "fax_number": "781-744-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KATHLEEN",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "2079",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "5389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

Verify at the official NPI Registry.