MISS TAMMY LYVONNE COOPER APN-C NPI 1720109846

NPI Information

NPI: 1720109846
Provider Name: MISS TAMMY LYVONNE COOPER, APN-C
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: CPC BEHAVIORAL HEALTHCARE INC

PECOS Registration: Yes

Address:
101 2ND ST
LAKEWOOD, NJ
ZIP 08701
Phone: (732) 363-6655
Get Directions

MISS Tammy Lyvonne Cooper, APN-C is an adult health nurse practitioner in Lakewood, NJ with 12 years of experience. MISS Tammy Lyvonne Cooper, APN-C NPI is 1720109846. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 2ND ST
LAKEWOOD, NJ
ZIP 08701-324
Phone: (732) 363-6655
Fax: (732) 901-0277

The NPI 1720109846 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 4/3/2007 and was last updated on 2/10/2014.

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	163WM0705X	Registered Nurse	Medical-Surgical	26NR11441600	NEW JERSEY	No
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	26NR11441600	NEW JERSEY	No
3	363LA2200X	Nurse Practitioner	Adult Health	26NJ00372800	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0325279	MEDICAID	NEW JERSEY
2	290896	MEDICARE PIN	NEW JERSEY

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: 11/14/2023

NPI Synchronization or Removal

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