1831177534 NPI number — PATRICIA A COOPER DNP, MSN, APRN

Table of content: MS. AIDA ULLA HOEKENDIJK RN (NPI 1538759915)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831177534 NPI number — PATRICIA A COOPER DNP, MSN, APRN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COOPER
Provider First Name:
PATRICIA
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DNP, MSN, APRN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831177534
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/28/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
305 LANGDON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOMERSET
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
42503-2750
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-678-3531
Provider Business Mailing Address Fax Number:
606-451-2641

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
305 LANGDON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOMERSET
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42503-2750
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-678-3531
Provider Business Practice Location Address Fax Number:
606-451-2641
Provider Enumeration Date:
01/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  3398P , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 12397376 . This is a "MULTIPLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 78015567 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000384144 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3398P . This is a "LICENSE NO" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 9408613 . This is a "PHCS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1226724 . This is a "CHA" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00298919 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com