Yalesia Nicole Cooper, LPN

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

400361770504 Issued in OH

Practice address

5918 Olive Ave
North Ridgeville, OH 44039-1832

Phone

(440) 453-8981

Fax

(440) 848-8894

NPI assigned

Nov 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Extended Grace Home Care Services LLC

  • Home Health Agency
  • Lorain, OH
  • NPI 1104397397
  NPD Authorized official

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1891264909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5918 OLIVE AVE",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440391832",
            "telephone_number": "440-453-8981",
            "fax_number": "440-848-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5918 OLIVE AVE",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440391832",
            "telephone_number": "440-453-8981",
            "fax_number": "440-848-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "YALESIA",
        "middle_name": "NICOLE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "183665",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "400361770504",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "400361770504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0275647",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberley M Clough
• Conversations for Change Counseling Services, Inc.
• Kathleen Cook, BCBA
• Karen Cooney, OTR/L
• Kathleen Ann Cooper, PTA
• James Cordaro
• Gregory B Cortese, NP-C
• Angela Coyle, LPCC-S
• Kimberly Thurza Cromer
• Sheila Curtis

• Nurse's Aide in North Ridgeville, OH
• Providers in North Ridgeville, OH by specialty
• Nurse's Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.

Verify at the official NPI Registry.