MICHELLE MAKEBA COOPER FNP NPI 1558871095

NPI Information

  • NPI: 1558871095
  • Provider Name: MICHELLE MAKEBA COOPER, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 627 RANDALL ROAD
    LUDLOW, MA
    ZIP 01056
  • Phone: (413) 858-0853

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NPI Details

Michelle Makeba Cooper, FNP is a family nurse practitioner in Ludlow, MA. Michelle Makeba Cooper, FNP NPI is 1558871095. 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:

627 RANDALL ROAD
LUDLOW, MA
ZIP 01056
Phone: (413) 858-0853
Fax: (413) 858-0772

The NPI 1558871095 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 10/11/2017 and was last updated on 11/8/2019.

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
1363LF0000XNurse PractitionerFamilyRN266134MASSACHUSETTSYes

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: 11/21/2025

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