KRYSTA MYCHAL COOPER APRN CNP NPI 1346728730

NPI Information

NPI: 1346728730
Provider Name: KRYSTA MYCHAL COOPER, APRN, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4790 COTTONVILLE RD
JAMESTOWN, OH
ZIP 45335
Phone: (937) 675-2870
Get Directions

Krysta Mychal Cooper, APRN, CNP is a family nurse practitioner in Jamestown, OH. Krysta Mychal Cooper, APRN, CNP NPI is 1346728730. 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:

4790 COTTONVILLE RD
JAMESTOWN, OH
ZIP 45335-518
Phone: (937) 675-2870
Fax: (937) 675-2873

The NPI 1346728730 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 7/30/2018 and was last updated on 12/2/2020.

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	207Q00000X	Family Medicine		LE-00024808	OHIO	No
2	363LF0000X	Nurse Practitioner	Family	APRN.CNP.023461	OHIO	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	0315026	MEDICAID	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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