Kimberly Ann Cooper, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5015963 Issued in NC

Practice address

101 E Allen St Ste 206
Hendersonville, NC 28792-5091

Phone

(828) 606-6990

Fax

(828) 372-4580

NPI assigned

Mar 15, 2022

Last updated

Jun 4, 2025By the provider in NPPES

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

Other names 1

• Kimberly Ann Floyd Former name

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• DLP Rutherford Physician Practices LLC

  • Family Medicine Physician
  • Forest City, NC
  • NPI 1962821322
  Medicare reassignment NPD
• Telos Health Systems NC PLLC

  • Internal Medicine Physician
  • Mooresville, NC
  • NPI 1265064414
  Medicare reassignment NPD
• DLP Rutherford Physician Practices LLC

  dba Rutherford Family Care

  • Rural Health Clinic/Center
  • Rutherfordton, NC
  • NPI 1720849391
  NPD

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1699423038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E ALLEN ST STE 206",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925091",
            "telephone_number": "828-606-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E ALLEN ST STE 206",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287925091",
            "telephone_number": "828-606-6990",
            "fax_number": "828-372-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5015963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "FLOYD",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cook Pediatric Therapy , Inc
• Jennifer Beth Cook, OTR/L CHT
• Robert Matthew Cook, MD
• Rachel Allison Cooley
• Christel Jana Cooper, LCSW-A
• Lynn F Coppedge, CCC-SLP
• Lesia Louise Corn, RDH
• Tina Marie Corn, RDMS(OB/GYN,AB), RVT
• Sarah L Cornblath, NP
• Cornerstone Chiropractic Clinic

• Psychiatric/Mental Health Nurse Practitioner in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.