Individual provider Active NPI

Deborah A Cooney, C.N.P.

  • Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1780965897
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10796-NP Issued in OH
Practice address
2050 S Cottonwood Dr
Tempe, AZ 85282-3014
Phone
(480) 704-4540
NPI assigned
Sep 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 10796-NP OH
Nurse Practitioner 363L00000X 10796-NP OH Primary

Addresses

Primary practice location

2050 S Cottonwood Dr
Tempe, AZ 85282-3014

Mailing address

6559 Wilson Mills Rd
Suite 106
Mayfield, OH 44143-6402
Phone (440) 449-1540

Other practice location 1

6559 Wilson Mills Rd
Suite 106
Mayfield, OH 44143-6402
Phone (440) 449-1540

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10796-NPOHMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1780965897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6559 WILSON MILLS RD",
            "address_2": "SUITE 106",
            "city": "MAYFIELD",
            "state": "OH",
            "postal_code": "441436402",
            "telephone_number": "440-449-1540",
            "fax_number": "440-460-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 S COTTONWOOD DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823014",
            "telephone_number": "480-704-4540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6559 Wilson Mills Rd",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Mayfield",
            "state": "OH",
            "postal_code": "441436402",
            "country_code": "US",
            "telephone_number": "440-449-1540",
            "fax_number": "440-460-2833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COONEY",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "10796-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "10796-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.