Active NPI
Emily N Cooper, RD, LDN
- Registered Dietitian
- Wichita, KS
National Provider Identifier
1760036180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2175
- Practice address
- 9300 E 29TH St N Ste 201
Wichita, KS 67226-2183 - Phone
- (316) 685-1277
- Fax
- (316) 688-5208
- NPI assigned
- Jul 25, 2019
- 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 | 2175 | KS | Primary |
Addresses
Primary practice location
9300 E 29TH St N Ste 201
Wichita, KS 67226-2183
Mailing address
PO Box 667
Wichita, KS 67201-0667
Phone (316) 685-1206
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2175 | KS | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1760036180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 667",
"city": "WICHITA",
"state": "KS",
"postal_code": "672010667",
"telephone_number": "316-685-1206",
"fax_number": "316-688-5208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 E 29TH ST N STE 201",
"city": "WICHITA",
"state": "KS",
"postal_code": "672262183",
"telephone_number": "316-685-1277",
"fax_number": "316-688-5208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "EMILY",
"middle_name": "N",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-25",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KS",
"license": "2175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.