Organization Active NPI

Cooper Advanced Practice

  • Family Nurse Practitioner
  • Magnolia, TX
National Provider Identifier
1851676308
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
666237 Issued in TX
Legal business name
COOPER ADVANCED PRACTICE
Practice address
18230 FM 1488 Rd
Suite 328
Magnolia, TX 77354-4528
Phone
(936) 242-9809
Fax
(832) 460-2685
NPI assigned
Oct 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Trent Cooper, NP
Title
Owner
Phone
(936) 242-9809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 666237 TX Primary

Addresses

Primary practice location

18230 FM 1488 Rd
Suite 328
Magnolia, TX 77354-4528

Mailing address

26702 Stagecoach Crossing Dr
Magnolia, TX 77355-2198
Phone (936) 242-9809

National Provider Directory

National Provider Directory

Locations

18230 FM 1488 Rd
Ste 328
Magnolia, TX 77354
Phone (936) 242-9809

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1851676308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26702 STAGECOACH CROSSING DR",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773552198",
            "telephone_number": "936-242-9809",
            "fax_number": "832-460-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18230 FM 1488 RD",
            "address_2": "SUITE 328",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773544528",
            "telephone_number": "936-242-9809",
            "fax_number": "832-460-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER ADVANCED PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "TRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-242-9809",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "666237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.