Anna Renee Coopersmith, OTR/L, CHT

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT 6007 Issued in CA

Practice address

320 Tesconi Cir
G
Santa Rosa, CA 95401-4611

Phone

(707) 544-2637

Fax

(707) 544-2088

NPI assigned

Mar 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Anna Renee Delue Coopersmith Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

68.05 of 100Reported as group

Quality

62.72

Promoting interoperability

100

Improvement activities

0

Cost

77.82

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Santa Rosa Orthopaedic Medical Group, Inc.

  • Orthopaedic Surgery Physician
  • Santa Rosa, CA
  • NPI 1518907336
  Medicare reassignment NPD
• Santa Rosa Orthopaedic Medical Group, Inc.

  • Orthopaedic Surgery Physician
  • Petaluma, CA
  • NPI 1891450920
  NPD

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1730573775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 TESCONI CIR",
            "address_2": "SUITE G",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014611",
            "telephone_number": "707-544-2637",
            "fax_number": "707-544-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 TESCONI CIR",
            "address_2": "G",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014611",
            "telephone_number": "707-544-2637",
            "fax_number": "707-544-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPERSMITH",
        "first_name": "ANNA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "OT 6007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "DELUE COOPERSMITH",
            "middle_name": "RENEE",
            "prefix": "MRS.",
            "credential": "OTR/L, CHT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Heather Nicole Cooper
• Lawrence Richard Cooper, M.D.
• Lionel C Cooper, MS, PPS, LMFT
• Renee Teresa Cooper, DO
• Thomas John Cooper
• Michael Corbett
• Nichole Alissa Cordoba
• Anthony Santiago Cordova Martinez, MA
• Rita Dora Mar Cordova
• Robin Cordova

• Specialist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.