Jessica Cooper, RD

Primary specialty

Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X

License

3083154-4901 Issued in UT

Practice address

1545 S 1900 E
Salt Lake City, UT 84108-2653

Phone

(801) 599-7965

NPI assigned

Nov 19, 2020

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1750984076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 S 1900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082653",
            "telephone_number": "801-599-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 S 1900 E",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082653",
            "telephone_number": "801-599-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JESSICA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "UT",
            "license": "3083154-4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Cooper
• Carrie Cooper, DPT
• Celita Cooper
• Garet Cooper, AGACNP
• Jaren James Cooper, M.P.T.
• Katherine Teresa Cooper
• Kelli Cooper, PT, DPT, NCS
• Kerry Cooper
• Kimberly Cooper
• Lacey A Cooper, NP-C

• Sports Dietetics Nutrition Registered Dietitian in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Sports Dietetics Nutrition Registered Dietitian in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.