Individual provider Active NPI

Michelle Cooper-Lynn

  • Home Health Agency
  • Opa Locka, FL
National Provider Identifier
1871053959
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
3051 NW 151St Ter
Opa Locka, FL 33054-2543
Phone
(786) 942-1318
NPI assigned
Mar 23, 2019
Reactivated
Apr 24, 2019
Last updated
Apr 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3051 NW 151St Ter
Opa Locka, FL 33054-2543

Mailing address

14311 Biscayne Blvd # 3862
North Miami, FL 33261-3479
Phone (954) 440-5182

Other identifiers 1

IdentifierTypeStateIssuer
371910434OtherFLTAX ID

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mclnotary@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Care One, LLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1871053959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14311 BISCAYNE BLVD # 3862",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "332613479",
            "telephone_number": "954-440-5182",
            "fax_number": "888-410-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 NW 151ST TER",
            "city": "OPA LOCKA",
            "state": "FL",
            "postal_code": "330542543",
            "telephone_number": "786-942-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER-LYNN",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-23",
        "last_updated": "2019-04-24",
        "deactivation_date": "2019-03-23",
        "reactivation_date": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "371910434",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mclnotary@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "14311 Biscayne Blvd # 3862",
            "city": "North Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "332613479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Opa Locka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.