JACKIE COOPER (NPI# 1013425941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013425941 |
| Entity Type | Individual |
| Full Name | JACKIE COOPER |
| Practice Address |
3938 John F Kennedy Pkwy Unit 11c Fort Collins CO 80525-3087 |
| Mailing Address |
6132 Tilden St Fort Collins CO 80528-7117 |
| Practice Telephone | 9702276184 |
| Mailing Telephone | 9702276184 |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | CO | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1136 E Stuart St, Fort Collins, CO 805251195 | 9704821317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327707 | Jackie Cooper | Case Manager/Care Coordinator | 12511 Jones Maltsberger Rd Apt 2205, San Antonio, TX 78247-4286 | 2018-05-21 |
| 1184921926 | Jackie Lou Cooper | Counselor | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2011-02-14 |
| Street Address |
3938 JOHN F KENNEDY PKWY UNIT 11C |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-3087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740820331 | Colorado Brian Training, Inc | Specialist | 1100 Haxton Dr Unit 105, Fort Collins, CO 80525-6213 | 2020-01-10 |
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1083156715 | Nora K Carolan | Specialist | 120 Buckeye St, Fort Collins, CO 80524-4101 | 2016-11-11 |
| 1861843781 | Kristin Nicole Rhoades | Specialist | 2730 W Elizabeth St, Fort Collins, CO 80521-4004 | 2016-06-22 |
| 1245610757 | Karen Kay Balog | Specialist | 521 Stover St, Fort Collins, CO 80524-3122 | 2015-06-01 |
| 1205241684 | Joseph Culhane | Specialist | 344 E Mountain Ave, Fort Collins, CO 80524-2914 | 2014-06-24 |
| 1457764813 | Elizabeth Eli | Specialist | 1500 S Lemay Ave, Fort Collins, CO 80523 | 2014-06-03 |
| 1366791782 | Jill Willis | Specialist | 3938 John F, Kennedy Parkway, Fort Collins, CO 80525 | 2012-08-30 |
| 1811243363 | Specialty Staffing Solutions, LLC | Specialist | 1001a E Harmony Rd # 256, Fort Collins, CO 80525-3354 | 2012-08-01 |
| 1003172545 | Robert Carroll | Specialist | 3938 John F Kennedy Pkwy Unit 11f, Fort Collins, CO 80525-3087 | 2012-04-10 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.