Dedra Dawn Coop, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9301536 Issued in FL

Practice address

13300 S Cleveland Ave Ste 56
Fort Myers, FL 33907-3871

Phone

(239) 292-3871

Fax

(239) 244-2118

NPI assigned

May 5, 2018

Last updated

Oct 3, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Roads Home Health Southwest Florida Home health agency, Fort Myers, FL, CCN 683106
• Alpha Home Care Services LLC Home health agency, Fort Myers, FL, CCN 109269
• Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dedra.coop.1@22946.direct.athenahealth.com

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.

• Arnp Services LLC

  • Medical Specialty Clinic/Center
  • Cape Coral, FL
  • NPI 1922721067
  Medicare reassignment NPD
• Beyond the Body Wellness LLC

  • Primary Care Nurse Practitioner
  • Lehigh Acres, FL
  • NPI 1194473751
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• A Quality Home Health 4 U Inc

  dba The Roads Home Health Southwest Florida

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1144514696
  Care Compare affiliation
• Alpha Home Care Services LLC

  • Home Health Agency
  • Fort Myers, FL
  • NPI 1811165897
  Care Compare affiliation
• Lee Health System Inc

  dba Lee Memorial Hospital

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1427806025
  Care Compare affiliation

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

{
    "created_epoch": "1525478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1740779701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 E 19TH ST",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339721400",
            "telephone_number": "765-432-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13300 S CLEVELAND AVE STE 56",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073871",
            "telephone_number": "239-292-3871",
            "fax_number": "239-244-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOP",
        "first_name": "DEDRA",
        "middle_name": "DAWN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-05",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9301536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Christine Cook, MS
• Michael David Cook, PA-C
• Stacey Cook, LCSW
• Tara Cooley, BS
• Melanie Aliza Coombs-Bynum, MD
• April Cooper
• Carolyn Cooper, COTA
• Gerard Cooper, PA
• Michelle Cooper
• Pamela Lynn Cooper, PMHNP-BC

• Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.
• 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.