Active NPI
Dianne Patricia Cooper
- Certified Registered Nurse Anesthetist
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- D-079349
- Practice address
- 6079 NE 9TH St
Des Moines, IA 50313-1531 - Phone
- (515) 778-4982
- NPI assigned
- Mar 30, 2006
- Last updated
- Feb 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | D-079349 | IA | Primary |
Addresses
Primary practice location
6079 NE 9TH St
Des Moines, IA 50313-1531
Mailing address
6079 NE 9TH St
Des Moines, IA 50313-1531
Phone (515) 778-4982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2425 Westown Pkwy
Suite 100
West Des Moines, IA 50266-1425
Phone (515) 991-6790
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-079349 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Center Anesthesiologists, P.C. | Current | Accepting new patients | |
| Central States Medicine, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Boone County Hospital | Current | Accepting new patients | |
| Boone County Hospital | Current | Accepting new patients | |
| Central States Medicine, PLLC | Current | Accepting new patients | |
| Boone County Hospital | Current | Accepting new patients | |
| Des Moines Anesthesiologists PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1015 Union St
Boone, IA 50036
Phone (515) 432-3140
1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200
411 Laurel St
Ste 3170
Des Moines, IA 50314
Phone (515) 283-0463
802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565
1225 Jordan Creek Pkwy
Ste 180
West Des Moines, IA 50266
Phone (515) 283-0463
1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240
2425 Westown Pkwy
Ste 100
West Des Moines, IA 50266
Phone (515) 222-8346
Organizations & group practices 7
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.
-
dba Central States Pain Clinic
- Interventional Pain Medicine Physician
- West Des Moines, IA
- NPI 1144646787
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Boone, IA
- NPI 1467434225
-
dba Boone County Family Medicine North Walk In
- Primary Care Clinic/Center
- Boone, IA
- NPI 1942664602
-
- Interventional Pain Medicine Physician
- Ankeny, IA
- NPI 1871333450
-
- Anesthesiology Physician
- West Des Moines, IA
- NPI 1073552428
-
- Anesthesiology Physician
- Des Moines, IA
- NPI 1073612016
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391472000000",
"number": "1770544686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6079 NE 9TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503131531",
"telephone_number": "515-778-4982",
"fax_number": "515-289-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6079 NE 9TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503131531",
"telephone_number": "515-778-4982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "DIANNE",
"middle_name": "PATRICIA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-30",
"last_updated": "2014-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D-079349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.