Michelle Cooper

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

11984 Wendt Rd
Kendrick, ID 83537-5047

Phone

(509) 552-6605

NPI assigned

Mar 19, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Michelle Strom Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1458345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458345600000",
    "number": "1972964872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11984 WENDT RD",
            "city": "KENDRICK",
            "state": "ID",
            "postal_code": "835375047",
            "telephone_number": "509-552-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11984 WENDT RD",
            "city": "KENDRICK",
            "state": "ID",
            "postal_code": "835375047",
            "telephone_number": "509-552-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-19",
        "last_updated": "2016-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "STROM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Grace Fox Aurich, DNP
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• Jeffrey F. Sowle DDS PA
• Kelly Marie Landle, P.A.-C

• Nurse's Aide in Kendrick, ID
• Providers in Kendrick, ID by specialty
• Nurse's Aide in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2016; 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.