Active NPI
Patricia A Cooper, DNP, MSN, APRN
- Nurse Practitioner
- Somerset, KY
National Provider Identifier
1831177534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3398P
- Practice address
- 305 Langdon St
Somerset, KY 42503-2750 - Phone
- (606) 678-3531
- Fax
- (606) 451-2641
- NPI assigned
- Jan 4, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3398P | KY | Primary |
Addresses
Primary practice location
305 Langdon St
Somerset, KY 42503-2750
Mailing address
305 Langdon St
Somerset, KY 42503-2750
Phone (606) 678-3531
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12397376 | Other | MULTIPLAN | |
| 78015567 | Medicaid | KY | |
| 000000384144 | Other | ANTHEM | |
| 3398P | Other | KY | LICENSE NO |
| 9408613 | Other | PHCS | |
| 1226724 | Other | CHA | |
| P00298919 | Other | KY | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3398P | KY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372377600000",
"number": "1831177534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 LANGDON ST",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425032750",
"telephone_number": "606-678-3531",
"fax_number": "606-451-2641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 LANGDON ST",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425032750",
"telephone_number": "606-678-3531",
"fax_number": "606-451-2641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "PATRICIA",
"middle_name": "A",
"credential": "DNP, MSN, APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-04",
"last_updated": "2013-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3398P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "12397376",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78015567",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000384144",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NO",
"identifier": "3398P",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9408613",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA",
"identifier": "1226724",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00298919",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.