Bakeisha Payton Cooper

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

689116196 Issued in FL

Practice address

590 Rob Roy Dr
Clermont, FL 34711-2463

Phone

(863) 899-8004

Fax

(866) 728-9641

NPI assigned

Sep 20, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1861700155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7293",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338077293",
            "telephone_number": "863-899-8004",
            "fax_number": "866-728-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 ROB ROY DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112463",
            "telephone_number": "863-899-8004",
            "fax_number": "866-728-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "BAKEISHA",
        "middle_name": "PAYTON",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "689116198",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "689116196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cora Health Services Inc
• Angela Christina Corallo, OTR/L
• Natalia Cordeiro, LMFT
• Lilian Cordero
• Cornerstone Caregiving East LLC

• Case Manager/Care Coordinator in Clermont, FL
• Providers in Clermont, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.