Clarice Louise Cooper, BSN, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN22954 Issued in MT

Practice address

308 Mission Drive
Saint Ignatius, MT 59865-0308

Phone

(406) 745-3525

Fax

(406) 745-4091

NPI assigned

Oct 3, 2006

Last updated

Feb 24, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Clarice Louise Anderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1982798609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "SAINT IGNATIUS",
            "state": "MT",
            "postal_code": "598650880",
            "telephone_number": "406-745-3525",
            "fax_number": "406-745-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 MISSION DRIVE",
            "city": "SAINT IGNATIUS",
            "state": "MT",
            "postal_code": "598650308",
            "telephone_number": "406-745-3525",
            "fax_number": "406-745-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CLARICE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "BSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "RN22954",
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MT",
            "license": "RN22954",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARICE",
            "last_name": "ANDERSON",
            "middle_name": "LOUISE",
            "credential": "BSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robin Marie Charlton-Fry, LPN
• Thomas Vernon Christensen, REGISTERED DENTAL HY
• Willow Coefield
• Confederated Salish & Kootenai Tribes of the Flathead Reservation (CSKT St. Ignatius Health Center Pharmacy)
• Confederated Salish and Kootenai Tribes of the Flathead Reservation
• Simon Crawford, PA-C
• Julie A. Cross, DENTAL HYGIENIST
• Nicole Crouch, R.D.
• Nancy Leigh Dalton-Johnson, RPH
• Victor M Davis, M.D.

• Registered Nurse in St Ignatius, MT
• Providers in St Ignatius, MT by specialty
• Registered Nurse in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.