KATHRYN COOPER NP NPI 1750377479

NPI Information

NPI: 1750377479
Provider Name: KATHRYN COOPER, NP
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

Organization: ST JOSEPHS MEDICAL PC

PECOS Registration: Yes

Address:
1000 E GENESEE ST
STE 300
SYRACUSE, NY
ZIP 13210
Phone: (315) 471-1044
Get Directions

Kathryn Cooper, NP is an adult medicine family medicine in Syracuse, NY with 27 years of experience. The provider is definition to come. Kathryn Cooper, NP NPI is 1750377479. 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:

1000 E GENESEE ST
STE 300
SYRACUSE, NY
ZIP 13210-892
Phone: (315) 471-1044
Fax: (315) 474-4312

The NPI 1750377479 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 9/27/2005 and was last updated on 11/9/2010.

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	363L00000X	Nurse Practitioner		F331842	NEW YORK	No
2	363LA2200X	Nurse Practitioner	Adult Health	F331842	NEW YORK	No
3	207QA0505X	Family Medicine	Adult Medicine	F331842	NEW YORK	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
1	02054626	MEDICAID	NEW YORK
2	S94880	MEDICARE UPIN
3	RB6175	MEDICARE PIN	NEW YORK

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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