Individual provider Active NPI

Natalie A Cooper, LAT, ATC

  • Athletic Trainer
  • Pocatello, ID
National Provider Identifier
1811610330
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT-853 Issued in ID
Practice address
335 E Lewis St Ste 10
Pocatello, ID 83201-6408
Phone
(208) 269-2360
NPI assigned
Sep 20, 2022
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT-853 ID Primary

Addresses

Primary practice location

335 E Lewis St Ste 10
Pocatello, ID 83201-6408

Mailing address

335 E Lewis St Ste 10
Pocatello, ID 83201-6408
Phone (208) 269-2360

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NATALIE@STREAMLINESPORTSPT.COM

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

LicenseStateTypeSpecialty
AT-853IDMDAthletic Trainer

Interoperability endpoints

  • Direct secure messaging: natalie@streamlinesportspt.com

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1811610330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E LEWIS ST STE 10",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016408",
            "telephone_number": "208-269-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E LEWIS ST STE 10",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016408",
            "telephone_number": "208-269-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "NATALIE",
        "middle_name": "A",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ID",
            "license": "AT-853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NATALIE@STREAMLINESPORTSPT.COM",
            "affiliation": "N",
            "endpointDescription": "PROFESSIONAL EMAIL ADDDRESS",
            "address_1": "335 E Lewis St Ste 10",
            "city": "Pocatello",
            "state": "ID",
            "country_code": "US",
            "postal_code": "832016408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.