Individual provider Active NPI

Kara Dianne Cooper, CNA, CPT

  • Nurse's Aide
  • Chicago, IL
National Provider Identifier
1821336678
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
401274470711 Issued in OH
Practice address
1839 N Monticello Ave
2W
Chicago, IL 60647-4740
Phone
(708) 522-5440
NPI assigned
Jan 29, 2013
Last updated
Jan 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 401274470711 OH Primary
Phlebotomy Technician 246RP1900X K8H8K7X7 IL

Addresses

Primary practice location

1839 N Monticello Ave
2W
Chicago, IL 60647-4740

Mailing address

1839 N Monticello Ave
2W
Chicago, IL 60647-4740
Phone (708) 522-5440

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
K8H8K7X7ILMDPhlebotomy Technician
401274470711OHMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1821336678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 N MONTICELLO AVE",
            "address_2": "2W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474740",
            "telephone_number": "708-522-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 N MONTICELLO AVE",
            "address_2": "2W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606474740",
            "telephone_number": "708-522-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KARA",
        "middle_name": "DIANNE",
        "credential": "CNA, CPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "401274470711",
            "primary": true
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "IL",
            "license": "K8H8K7X7",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.