Active NPI
Kimberly Daniels Cooper, RN
- Registered Nurse
- Tacoma, WA
National Provider Identifier
1740727296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN60390079
- Practice address
- Madigan Army Medical Ctr
9040 Jackson Avenue, Attn: MCHJ-CLQ-C
Tacoma, WA 98431-1100 - Phone
- (601) 307-6317
- NPI assigned
- Jan 23, 2017
- 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 Nurse | 163W00000X | RN60390079 | WA | Primary |
Addresses
Primary practice location
Madigan Army Medical Ctr
9040 Jackson Avenue, Attn: MCHJ-CLQ-C
Tacoma, WA 98431-1100
Mailing address
Madigan Army Medical Ctr
9040 Jackson Avenue, Attn: MCHJ-CLQ-C
Tacoma, WA 98431-1100
Phone (601) 307-6317
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60390079 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485129600000",
"number": "1740727296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CTR",
"address_2": "9040 JACKSON AVENUE, ATTN: MCHJ-CLQ-C",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311100",
"telephone_number": "601-307-6317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CTR",
"address_2": "9040 JACKSON AVENUE, ATTN: MCHJ-CLQ-C",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311100",
"telephone_number": "601-307-6317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "KIMBERLY",
"middle_name": "DANIELS",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-23",
"last_updated": "2017-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60390079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.