Michelle Cooper NP LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

R134898 Issued in MD

Legal business name

MICHELLE COOPER NP LLC

Practice address

75 Thomas Johnson Dr Suite F
Frederick, MD 21702

Phone

(301) 644-3305

Fax

(301) 644-3308

NPI assigned

Nov 12, 2014

Last updated

Aug 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gloria Corbin

Title

Director of Finance

Phone

(301) 732-6300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Jane Kannaian, FNP-BC

  • Family Nurse Practitioner
  • Noblesville, IN
  • NPI 1235655903
  NPD (past)

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1841696325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 THOMAS JOHNSON DR SUITE F",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "301-644-3305",
            "fax_number": "301-644-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 THOMAS JOHNSON DR SUITE F",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21702",
            "telephone_number": "301-644-3305",
            "fax_number": "301-644-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE COOPER NP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "CORBIN",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "301-732-6300"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "R134898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David S Mezebish, M.D.
• MGMC, LLC
• MH Health Care Services, PC (Marathon Health - Frederick MD)
• Michael Garofano, PH.D., LLC
• Michael R. Warner Mdpa
• Laura Michie, SLP
• Rachel L Micol, PHD
• Mid Atlantic Plastic & Reconstructive Surgery
• Mid Maryland Neurology, PA
• Mid-Atlantic Chiropractic East Frederick LLC

• Primary Care Nurse Practitioner in Frederick, MD
• Providers in Frederick, MD by specialty
• Primary Care Nurse Practitioner in Maryland

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