Active NPI
Cooper Health Mobile Services
- Family Medicine Physician
- Carlotte, NC
National Provider Identifier
1861106973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COOPER HEALTH MOBILE SERVICES
- Practice address
- 14632 Brotherly Lane
Carlotte, NC 28278 - Phone
- (704) 770-6435
- NPI assigned
- Jan 12, 2023
- Last updated
- Jan 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rhonda Cooper Bridget, FNP-BC
- Title
- Family Nurse Practitioner
- Phone
- (704) 770-6435
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
14632 Brotherly Lane
Carlotte, NC 28278
Mailing address
14632 Brotherly Lane
Charotte, NC 28278
Phone (704) 770-6435
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673481600000",
"number": "1861106973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14632 BROTHERLY LANE",
"city": "CHAROTTE",
"state": "NC",
"postal_code": "28278",
"telephone_number": "704-770-6435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14632 BROTHERLY LANE",
"city": "CARLOTTE",
"state": "NC",
"postal_code": "28278",
"telephone_number": "704-770-6435"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COOPER HEALTH MOBILE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-12",
"last_updated": "2023-01-12",
"certification_date": "2023-01-12",
"status": "A",
"authorized_official_last_name": "BRIDGET",
"authorized_official_first_name": "RHONDA",
"authorized_official_middle_name": "COOPER",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "704-770-6435",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.