Active NPI
Ashle Nicole Cooper, MAT, ATC
- Athletic Trainer
- Augusta, GA
National Provider Identifier
1801009659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 441
- Practice address
- 937 15TH St
Augusta, GA 30912-0008 - Phone
- (706) 399-6044
- Fax
- (706) 721-3495
- NPI assigned
- May 8, 2007
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 441 | SC | Primary |
Addresses
Primary practice location
937 15TH St
Augusta, GA 30912-0008
Mailing address
144 Oakland Dr
North Augusta, SC 29860-8654
Phone (803) 279-8935
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 441 | SC | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801009659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 OAKLAND DR",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298608654",
"telephone_number": "803-279-8935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "937 15TH ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120008",
"telephone_number": "706-399-6044",
"fax_number": "706-721-3495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "ASHLE",
"middle_name": "NICOLE",
"credential": "MAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "SC",
"license": "441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.