Active NPI
Cathleen Marie Cooper, MS, RD, LD
- Registered Dietitian
- Wadsworth, OH
National Provider Identifier
1740598135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 6299
- Practice address
- 251 Leatherman Rd
Wadsworth, OH 44281-9236 - Phone
- (330) 334-6229
- Fax
- (330) 334-6110
- NPI assigned
- Sep 20, 2010
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 6299 | OH | Primary |
Addresses
Primary practice location
251 Leatherman Rd
Wadsworth, OH 44281-9236
Mailing address
251 Leatherman Rd
Wadsworth, OH 44281-9236
Phone (330) 433-1311
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0228242 | Medicaid | OH | |
| 6299 | Other | OH | LICENSE |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6299 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523232000000",
"number": "1740598135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 LEATHERMAN RD",
"city": "WADSWORTH",
"state": "OH",
"postal_code": "442819236",
"telephone_number": "330-433-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 LEATHERMAN RD",
"city": "WADSWORTH",
"state": "OH",
"postal_code": "442819236",
"telephone_number": "330-334-6229",
"fax_number": "330-334-6110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "CATHLEEN",
"middle_name": "MARIE",
"credential": "MS, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-20",
"last_updated": "2018-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "6299",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0228242",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "6299",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wadsworth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.