CARISSA BETH COOPER FNP NPI 1396982914

NPI Information

NPI: 1396982914
Provider Name: CARISSA BETH COOPER, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
100 LANTANA RD STE 202
CROSSVILLE, TN
ZIP 38555
Phone: (931) 484-5141
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Carissa Beth Cooper, FNP is a family nurse practitioner in Crossville, TN with 6 years of experience. Carissa Beth Cooper, FNP NPI is 1396982914. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduation Year:2018

The provider's business location address is:

100 LANTANA RD STE 202
CROSSVILLE, TN
ZIP 38555
Phone: (931) 484-5141
Fax: (865) 374-2074

The NPI 1396982914 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/20/2009 and was last updated on 7/26/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	18311	TENNESSEE	Yes
2	364SA2200X	Clinical Nurse Specialist	Adult Health	734121	TEXAS	No
3	364SA2200X	Clinical Nurse Specialist	Adult Health	CNS-00214	NEW MEXICO	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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