Active NPI
Kenya K Cooper
- Home Health Aide
- Flint, MI
National Provider Identifier
1922580018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 83-1760934
- Practice address
- 2746 Wolcott St
Flint, MI 48504-3357 - Phone
- (810) 525-5222
- NPI assigned
- Sep 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 83-1760934 | MI | Primary |
Addresses
Primary practice location
2746 Wolcott St
Flint, MI 48504-3357
Mailing address
2746 Wolcott St
Flint, MI 48504-3357
Phone (810) 525-5222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83-1760934 | Other | MI | HOME HEALTH CARE |
Other names 1
- Kenya K Cooper
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83-1760934 | MI | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536105600000",
"number": "1922580018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2746 WOLCOTT ST",
"city": "FLINT",
"state": "MI",
"postal_code": "485043357",
"telephone_number": "810-525-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2746 WOLCOTT ST",
"city": "FLINT",
"state": "MI",
"postal_code": "485043357",
"telephone_number": "810-525-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "KENYA",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-05",
"last_updated": "2018-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MI",
"license": "83-1760934",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTH CARE",
"identifier": "83-1760934",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KENYA",
"last_name": "COOPER",
"middle_name": "K",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.