CHARLES RENEE COOPER JR. (NPI# 1669985420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669985420 |
| Entity Type | Individual |
| Full Name | CHARLES RENEE COOPER JR. |
| Practice Address |
622 Manzano St Ne Albuquerque NM 87110-6302 |
| Practice Telephone | 5059254044 |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | NM | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902109689 | Charles H Cooper | Dentist | 38 Cottonwood Ln, Hilton Head Island, SC 29926-1960 | 2010-12-17 |
| 1962631218 | Charles Key Cooper | Internal Medicine | 2401 W. Baltimore St, Baltimore, MD 21223 | 2009-07-08 |
| 1730303082 | Charles Alan Cooper | Ophthalmology | 8 Landers St, Unit 301, San Francisco, CA 94114-4300 | 2007-04-11 |
| 1588743843 | Charles Acker Cooper | Dentist | 711 East Tenth Street, Suite A, Anniston, AL 36207-4779 | 2006-11-06 |
| 1255422507 | Charles Howard Cooper | Dentist | 5936 Hubbard Drive, Rockville, MD 70852 | 2006-09-28 |
| 1912913021 | Charles Clayton Cooper Jr. | Dentist | 1635 Friar Tuck Rd Ne, Atlanta, GA 30309-2611 | 2006-07-31 |
| 1679526750 | Charles L. Cooper | Psychologist | 100 Europa Dr, Suite 260, Chapel Hill, NC 27517-2357 | 2006-05-18 |
| 1205836590 | Charles L. Cooper | Radiology | 6243 Woodhaven Blvd, Rego Park, NY 11374-3731 | 2005-07-28 |
| 1578109963 | Charles Cooper | Registered Nurse | 4801 Brentwood Stair Rd Ste 404, Ft Worth, TX 76103-1731 | 2019-11-21 |
| 1790243459 | Charles W Cooper | Psychologist | 110 Mordington Avenue, Jefferson County Board of Education, Charles Town, WV 25414 | 2019-03-12 |
| Street Address |
622 MANZANO ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-6302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457684359 | Ramona Baca-hodroff | Case Manager/Care Coordinator | 622 Manzano St Ne, Albuquerque, NM 87110-6302 | 2009-09-09 |
| 1356971758 | Amanda Rosabel Salazar | Registered Nurse | 622 Manzano St Ne, Albuquerque, NM 87110-6302 | 2020-01-24 |
| 1225538143 | Jaime Clare Campbell | Counselor | 622 Manzano St Ne, Albuquerque, NM 87110-6302 | 2018-02-16 |
| 1356875538 | Lluvia Flores | Rehabilitation Practitioner | 622 Manzano St Ne, Albuquerque, NM 87110-6302 | 2017-04-14 |
| 1154668507 | Linda Ann Mickle | Nurse Practitioner | 622 Manzano St Ne, Albuquerque, NM 87110-6302 | 2013-01-04 |
| 1073887253 | Bonnie Kay Mount | Registered Nurse | 622 Manzano St Ne, Albuquerque, NM 87110-6302 | 2012-03-06 |
| 1528332855 | Monique Blair | Registered Nurse | 622 Manzano St Ne, Albuquerque, NM 87110-6302 | 2012-03-05 |
| 1386964013 | Michael Ellis Deierhoi | Case Manager/Care Coordinator | 622 Manzano St Ne, Albuquerque, NM 87110-6302 | 2010-06-04 |
| 1508199571 | Mary E Perez | Registered Nurse | 622 Manzano St Ne, Albuquerque, NM 87110-6302 | 2009-09-09 |
| 1265765168 | Gail F Albers | Counselor | 622 Manzano St Ne, Albuquerque, NM 87110-6302 | 2009-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847985 | Selinda Turner | Case Manager/Care Coordinator | 3620 Wyoming Blvd Ne Ste 102d, Albuquerque, NM 87111-3286 | 2020-10-06 |
| 1205452943 | Channda Bernadette Mitchell | Case Manager/Care Coordinator | 2301 Yale Blvd Se Ste F, Albuquerque, NM 87106-4228 | 2020-06-18 |
| 1346882909 | Jaineen Burkettsims | Case Manager/Care Coordinator | 11005 Spain Rd Ne Ste 22, Albuquerque, NM 87111-1871 | 2019-10-15 |
| 1285282715 | Aiden Charles Martinez | Case Manager/Care Coordinator | 6704 Nueva Pierda Street Nw, Albuquerque, NM 87120 | 2019-08-28 |
| 1023662947 | Tracy Lynn Nichols | Case Manager/Care Coordinator | 2329 Griffin Rd Sw, Albuquerque, NM 87105-7026 | 2019-07-29 |
| 1629632930 | Kassandra Lucero | Case Manager/Care Coordinator | 4118 Central Ave Se, Albuquerque, NM 87108-1177 | 2019-04-23 |
| 1740708809 | 11.11, LLC | Case Manager/Care Coordinator | 11724 Copper Pl Ne, Albuquerque, NM 87123 | 2017-09-08 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1245769512 | Danielle White | Case Manager/Care Coordinator | 801 Encino Pl Ne Ste E1, Albuquerque, NM 87102-2645 | 2017-06-08 |
| 1447784079 | Jess Fulton | Case Manager/Care Coordinator | 720 Vassar Dr Ne, Albuquerque, NM 87106-2724 | 2017-04-20 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
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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.