Beverly Cooper, FNPC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

111190 Issued in OK

Practice address

920 N 8TH St
Hollis, OK 73550-2026

Phone

(580) 688-2200

Fax

(580) 688-2229

NPI assigned

Nov 13, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: himhmh@direct.jcmh.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Akram R. Abraham, M.D.PC

  • Family Medicine Physician
  • Hollis, OK
  • NPI 1225210248
  Medicare reassignment NPD
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD
• Jackson County Memorial Hospital Authority

  • Critical Access Hospital
  • Hollis, OK
  • NPI 1295735991
  NPD (past)

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1811327836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N 8TH ST",
            "city": "HOLLIS",
            "state": "OK",
            "postal_code": "735502026",
            "telephone_number": "580-688-2200",
            "fax_number": "580-688-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N 8TH ST",
            "city": "HOLLIS",
            "state": "OK",
            "postal_code": "735502026",
            "telephone_number": "580-688-2200",
            "fax_number": "580-688-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "BEVERLY",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "111190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100034510E",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bigbox Pharmacy Unlimited LLC
• Blackhawk Mangum, LLC
• Jada Alexandra Bost, LPC
• Sharon Ann Bowen
• Justin Cade Cole, DOCTOR OF PHARMACY
• Cayden James Crume
• Erica E De Santos, A.P.R.N
• William Paul Estes, DDS
• Vickie June Godwin, LMFT
• Harmon County Healthcare Authority

• Family Nurse Practitioner in Hollis, OK
• Providers in Hollis, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.