Active NPI
Stephanie Cooper
- Surgical Assistant
- Las Vegas, NV
National Provider Identifier
1710429741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 147152
- Practice address
- 7385 S Pecos Rd
Suite 103
Las Vegas, NV 89120-3768 - Phone
- (702) 463-3300
- NPI assigned
- Nov 8, 2016
- 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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 147152 | NV | Primary |
Addresses
Primary practice location
7385 S Pecos Rd
Suite 103
Las Vegas, NV 89120-3768
Mailing address
7385 S Pecos Rd
Suite 103
Las Vegas, NV 89120-3768
Phone (702) 463-3300
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 |
|---|---|---|---|
| 147152 | NV | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umbach Medical Group PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478563200000",
"number": "1710429741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7385 S PECOS RD",
"address_2": "SUITE 103",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203768",
"telephone_number": "702-463-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7385 S PECOS RD",
"address_2": "SUITE 103",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891203768",
"telephone_number": "702-463-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-08",
"last_updated": "2016-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "NV",
"license": "147152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.