Jackqueline Cooper

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

2552 Poplar Ave
4B
Memphis, TN 38112-3852

Phone

(901) 409-2849

NPI assigned

Jun 18, 2015

Last updated

Jun 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Devoted Hand

  • In Home Supportive Care Agency
  • Memphis, TN
  • NPI 1689050478
  NPD (past) Authorized official

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1851772560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2552 POPLAR AVE",
            "address_2": "4B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123852",
            "telephone_number": "901-409-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2552 POPLAR AVE",
            "address_2": "4B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123852",
            "telephone_number": "901-409-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JACKQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Denise Coombs
• Chelsea Alexis Coon, PHARM.D.
• Cooper Young Therapist
• Elisabeth Nicole Cooper, LCSW
• Emily Cooper, RBT
• James Elliott Cooper, MD
• John A Cooper, PHD
• Kathryn J Cooper, NP
• Lesl Cooper, OT
• Maureen Cooper, PHARM.D.

• In Home Supportive Care Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.