Individual provider Active NPI

Debra Ann Cooper, APRN, FNP-C

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1962960062
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03190056 Issued in LA
Practice address
7301 Hennessy Blvd Ste 3D
Baton Rouge, LA 70808-4793
Phone
(225) 526-4060
NPI assigned
Mar 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F03190056 LA Primary

Addresses

Primary practice location

7301 Hennessy Blvd Ste 3D
Baton Rouge, LA 70808-4793

Mailing address

8164 Kingview St
Saint James, LA 70086-7523
Phone (225) 806-5021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191119000162 LA Practitioner - Nurse Practitioner 0840622528 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F03190056LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol City Family Health Center Incorporated CurrentSince Aug 2, 2019 Accepting new patients
Capitol City Family Health Center, Incorporated CurrentSince Aug 2, 2019 Accepting new patients

Locations

3140 Florida St
Baton Rouge, LA 70806
Phone (225) 650-2000

904 Catalpa St
Donaldsonville, LA 70346
Phone (225) 264-6800

59340 River West Dr
Plaquemine, LA 70764
Phone (225) 385-4742

Interoperability endpoints

  • Direct secure messaging: debra.cooper.1@16720.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1962960062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8164 KINGVIEW ST",
            "city": "SAINT JAMES",
            "state": "LA",
            "postal_code": "700867523",
            "telephone_number": "225-806-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 HENNESSY BLVD STE 3D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084793",
            "telephone_number": "225-526-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "F03190056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.