Individual provider Active NPI

Emily R Cooper, NP

  • Nurse Practitioner
  • New Ipswich, NH
National Provider Identifier
1821346008
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
075097-23 Issued in NH
Practice address
821 Turnpike Rd
New Ipswich, NH 03071-3841
Phone
(603) 878-1092
NPI assigned
Aug 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN2270619 MA
Women's Health Nurse Practitioner 363LW0102X RN2270619 MA
Nurse Practitioner 363L00000X 075097-23 NH Primary

Addresses

Primary practice location

821 Turnpike Rd
New Ipswich, NH 03071-3841

Mailing address

821 Turnpike Rd
New Ipswich, NH 03071-3841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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

Enrollment IDStateProvider typePAC IDDetails
I20170517000417 NH Practitioner - Nurse Practitioner 9931353869 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2270619MAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monadnock Community Hospital Nurse Practitioner CurrentSince Apr 9, 2017 Accepting new patients
Monadnock Community Hospital Current Accepting new patients
Reliant Medical Group, Inc PastSince Oct 15, 2007 Accepting new patients

Locations

12 Elm St
Antrim, NH 03440
Phone (603) 588-4200

82 Peterborough St
Jaffrey, NH 03452
Phone (603) 532-4200

452 Old Street Rd
Peterborough, NH 03458
Phone (603) 924-4699

454 Old Street Rd
Ste 301
Peterborough, NH 03458
Phone (603) 924-4680

454 Old Street Rd
Ste 207
Peterborough, NH 03458
Phone (603) 924-4664

145 US Route 202
Rindge, NH 03461
Phone (603) 899-9563

Interoperability endpoints

  • Direct secure messaging: emily.cooper@mhp.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1821346008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 TURNPIKE RD",
            "city": "NEW IPSWICH",
            "state": "NH",
            "postal_code": "030713841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 TURNPIKE RD",
            "city": "NEW IPSWICH",
            "state": "NH",
            "postal_code": "030713841",
            "telephone_number": "603-878-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "EMILY",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-20",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2270619",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "RN2270619",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "075097-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Ipswich, NH

Sources for this page

Verify at the official NPI Registry.