JADA COOPER (NPI# 1124095914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124095914 |
| Entity Type | Individual |
| Full Name | JADA COOPER |
| Credential | CFNP |
| Practice Address |
715-a Division Street Biloxi MS 39530 |
| Mailing Address |
Po Box 475 Biloxi MS 39533-0475 |
| Practice Telephone | 2283744991 |
| Practice Fax Number | 2283740856 |
| Mailing Telephone | 2283742494 |
| Mailing Fax Number | 2283740856 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2011-11-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R859997 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R859997 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00126712 | 05 |
| Street Address |
715-A DIVISION STREET |
| City | BILOXI |
| State | MS |
| Zip Code | 39530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588158125 | Gulf Coast Anesthesia Associates | Anesthesiology | 147 Reynoir St Ste 305, Biloxi, MS 39530 | 2018-06-18 |
| 1326486804 | Pavilion Personal Care LLC | In Home Supportive Care | 1450b Beach Blvd, Biloxi, MS 39530 | 2013-06-06 |
| 1366707713 | Makeva K Reed | Nurse Practitioner | 321 Division St, Biloxi, MS 39530 | 2012-07-11 |
| 1174833602 | Keith Edward Earley Jr. | Ophthalmology | 301 Fisher Ave, Keesler Afb, MS 39530 | 2010-10-18 |
| 1730406729 | Alexander H. Nguyen | Surgery | 4503 M St, Biloxi, MS 39530 | 2010-04-29 |
| 1881891265 | Tina Fleming Mcgrew | Nurse Practitioner | 321-b Divison Street, Biloxi, MS 39530 | 2007-06-29 |
| 1285857623 | South Mississippi Nephrology, Pllc | Internal Medicine | 784 Vieux Marche, Biloxi, MS 39530 | 2007-04-11 |
| 1164573515 | Keith G Goodfellow | Obstetrics & Gynecology | 147 Reynoir St Ste 105, Biloxi, MS 39530 | 2007-01-14 |
| 1871640292 | Doreen Brock | Nurse Practitioner | 1046 Division Street, Biloxi, MS 39530 | 2007-01-05 |
| 1922069715 | Garvin Wallace Cunningham | Dentist | 683 Division St, Biloxi, MS 39530 | 2006-03-31 |
| Find all providers in zip 39530 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
| 1144434747 | Blair S Mckee | Nurse Practitioner | 2490 S Shore Dr, Biloxi, MS 39532-3028 | 2007-05-10 |
| 1871640292 | Doreen Brock | Nurse Practitioner | 1046 Division Street, Biloxi, MS 39530 | 2007-01-05 |
| 1215949896 | Michael W Fairbanks | Nurse Practitioner | 2490 Pass Rd, Biloxi, MS 39531-2838 | 2006-08-12 |
| 1114583994 | Primesource Nursing Services, Inc | Nurse Practitioner | 2279 Atkinson Rd, Biloxi, MS 39531-2209 | 2019-05-16 |
| 1235698838 | Stacie Erin Slagle | Nurse Practitioner | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2019-03-14 |
| 1447738117 | Teraty Hudson | Nurse Practitioner | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2018-08-03 |
| 1619419900 | Kenyada Marshall | Nurse Practitioner | 150 Reynoir St, Biloxi, MS 39530-4130 | 2016-11-17 |
| 1649666538 | Ashley Wesson | Nurse Practitioner | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2015-04-08 |
| 1710220678 | Mississippi Emergency Physician Services, LLC | Nurse Practitioner | 150 Reynoir St, Biloxi, MS 39530-4130 | 2013-03-29 |
| Find all providers in BILOXI | ||||
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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.