MRS. CHANELLE ALIS COOLEY (NPI# 1457476467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457476467 |
Entity Type | Individual |
Full Name | MRS. CHANELLE ALIS COOLEY |
Other Name | CHANELLE ALIS MORRIS |
Credential | MOTRL |
Practice Address |
23 Mason St Laurel MS 39440-4437 |
Mailing Address |
83 Merchant Cir Ellisville MS 39437-7204 |
Practice Telephone | 6013990534 |
Mailing Telephone | 6014778788 |
Enumeration Date | 2007-03-20 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
OT1505 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
23 MASON ST |
City | LAUREL |
State | MS |
Zip Code | 39440-4437 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629058094 | South Central Regional Medical Center | Ambulance | 23 Mason St, Laurel, MS 39440-4437 | 2006-01-20 |
1568007045 | Natalie Day Gibbes | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39440-4437 | 2019-11-08 |
1003466210 | Kirk L Landrum | Specialist/Technologist | 23 Mason St, Laurel, MS 39440-4437 | 2019-09-19 |
1114141975 | Sherri Leigh Forehand | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39440-4437 | 2007-04-12 |
1609994086 | Lydia S. Mitchell | Occupational Therapy Assistant | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-26 |
1326165093 | Carrie Elizabeth Freeman | Occupational Therapist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-26 |
1871619528 | Marsha Diane Boyd | Occupational Therapist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-22 |
1124143185 | Ashley C Shoemaker | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39441 | 2007-03-20 |
1427181411 | Jessica Rose Braddock | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-13 |
1225160591 | Alexandra Carter O'neal | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
Find all providers in zip 39440 |
Taxonomy Code | 225XH1200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Hand |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427238195 | Memphis Hand Center | Occupational Therapist | 5699 Getwell Rd, Bldg E, Sutie 4, Southaven, MS 38672-7312 | 2007-11-09 |
1144400813 | Memphis Hand Center, Inc | Occupational Therapist | 156 Highway 51 S, Batesville, MS 38606-2552 | 2007-11-09 |
1932395878 | Prohealth Solutions, Inc | Occupational Therapist | 722 West Canal Street, Picayune, MS 39466 | 2007-09-24 |
1023055415 | Coast Hand Therapy, Inc. | Occupational Therapist | 1105 39th Ave, Gulfport, MS 39501-2654 | 2006-06-02 |
1972561470 | Kaye B Cannon | Occupational Therapist | 1743 Cliff Gookin Blvd, Tupelo, MS 38801-6723 | 2006-05-03 |
1669006102 | Alyssa Morgan Zelenka | Occupational Therapist | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | 2020-02-24 |
1588139521 | Carolyn Lawson | Occupational Therapist | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565-6771 | 2018-10-05 |
1427507037 | Ophelia Abrahams | Occupational Therapist | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 | 2016-09-23 |
1881076362 | Cody L Pounders | Occupational Therapist | 1211 S Gloster St Ste C, Tupelo, MS 38801-6548 | 2015-06-22 |
1265470744 | Joseph Albert Church IIi | Occupational Therapist | 1105 39th Ave, Gulfport, MS 39501-2654 | 2006-06-04 |
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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.