KELLY CORR COOPER (NPI# 1356509368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356509368 |
| Entity Type | Individual |
| Full Name | KELLY CORR COOPER |
| Other Name | KELLY EILEEN CORR |
| Credential | MD |
| Practice Address |
2018 Western Ave Knoxville TN 37921-5718 |
| Mailing Address |
6350 W Andrew Johnson Hwy Talbott TN 37877-8605 |
| Practice Telephone | 8655440406 |
| Practice Fax Number | 8655440480 |
| Mailing Telephone | 8003553565 |
| Mailing Fax Number | 4237142355 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 50383 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396133641 | Kelly Cooper | Physical Therapy Assistant | 3200 North Elm Street, Greensboro, NC 27408 | 2015-01-08 |
| 1881992741 | Kelly Frances Cooper | Massage Therapist | 3324 W University Ave # 344, Gainesville, FL 32607-2540 | 2011-03-02 |
| 1265763098 | Kelly Marie Cooper | Massage Therapist | 25 Quail Hollow Rd, Fairview, NC 28730-8505 | 2010-01-19 |
| 1124628300 | Kelly M Cooper | Optometrist | 210 Marlboro Ave Ste 31, Easton, MD 21601-2767 | 2020-10-28 |
| 1255979787 | Kelly Cooper | Speech-Language Pathologist | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2019-12-16 |
| 1851945943 | Kelly Cooper | Counselor | 506 Grover St Ste 112, Lynden, WA 98264-1960 | 2019-07-28 |
| 1871063792 | Kelly Cooper | Counselor | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2018-12-04 |
| 1114411915 | Kelly Anne Cooper | Counselor | 5284 Adolfo Rd Ste 100, Camarillo, CA 93012-6790 | 2018-06-15 |
| 1316468820 | Kelly Ann Cooper | Nurse Practitioner | 401 E Chestnut St Unit 310, Louisville, KY 40202-5703 | 2017-07-06 |
| 1386191252 | Kelly Cooper | Dentist | 221 3rd St W Bldg 1040, Jbsa Randolph, TX 78150-4800 | 2016-09-07 |
| Street Address |
2018 WESTERN AVE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37921-5718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841298031 | Tammy Renee Feehan | Pediatrics | 2018 Western Ave, Knoxville, TN 37921-5718 | 2005-07-12 |
| 1295335396 | Britney Lashea Love | Technician, Pathology | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-10-28 |
| 1518564269 | Amanda Ashley Collazo | Case Manager/Care Coordinator | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-10-06 |
| 1548867203 | Rachel Marie Koch | Case Manager/Care Coordinator | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-10-06 |
| 1881209864 | Roger Mitchell Nooe Jr. | Social Worker | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-09-15 |
| 1770196859 | Kerri Dominique Harris | Case Manager/Care Coordinator | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-08-28 |
| 1073124228 | Patrick Joseph Mcnicholas | Student in an Organized Health Care Education/Training Program | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-08-12 |
| 1932710217 | Madeline Elyse Chelko | Registered Nurse | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-08-11 |
| 1831708601 | Anne Elise Russell | Case Manager/Care Coordinator | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-07-28 |
| 1790393957 | Sydney Taylor Younginer | Student in an Organized Health Care Education/Training Program | 2018 Western Ave, Knoxville, TN 37921-5718 | 2020-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902425366 | Marissa Michelle Sharp | Home Health Aide | 6224 Western Avenue, Knoxville, TN 37921 | 2020-04-15 |
| 1245860352 | Keshyra Paulsha Robinson | Nurse's Aide | 1754 Texas Avenue, Knoxville, TN 37921 | 2020-01-17 |
| 1700435443 | Velissa Ann Caffey | Licensed Practical Nurse | 5203 Ball Camp Pk, Knoxville, TN 37921 | 2019-09-05 |
| 1720551641 | Lindsey Michelle Yarnell | Behavior Technician | 5203 Ball Camp Pike, Knoxville, TN 37921 | 2019-01-03 |
| 1205354255 | Kylee Blair Dick | Case Manager/Care Coordinator | 600 Arthur Street, Knoxville, TN 37921 | 2017-08-30 |
| 1134658230 | Nicole Elaine Roberts | Pharmacist | 3588 Workman Rd Suite 101, Knoxville, TN 37921 | 2017-06-12 |
| 1710312053 | Megan Marie Pfeifer | Counselor | 626 Bernard Avenue, Knoxville, TN 37921 | 2013-09-05 |
| 1366601775 | Drd Management, Inc | Counselor | 412 Citico, Knoxville, TN 37921 | 2008-06-02 |
| 1457521320 | Tamara Flowers | Advanced Practice Midwife | 1925 B Ailor Avenue, Knoxville, TN 37921 | 2008-03-07 |
| 1790823722 | Oxygen and Sleep Associates, Inc. | Durable Medical Equipment & Medical Supplies | 1701 Louisville Dr, Ste. 107, Knoxville, TN 37921 | 2007-02-02 |
| Find all providers in zip 37921 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755271 | Maryellen Tipton | Family Medicine | 1489 Touraine Pl, Knoxville, TN 37919-8278 | 2020-09-16 |
| 1114483864 | Ucfa Physicians Network Group of Tennessee | Family Medicine | 223 Hiawassee Ave, Knoxville, TN 37917-4933 | 2019-02-19 |
| 1285199109 | Summit Medical Group,pllc | Family Medicine | 280 Ft Sanders W Blvd Ste 101, Knoxville, TN 37922-3352 | 2019-02-05 |
| 1558843235 | Geneva Lynne Worthington | Family Medicine | 135 Lovell Rd, Knoxville, TN 37934-1904 | 2018-08-30 |
| 1306325816 | Muslim Community of Knoxville's Shifa Clinic | Family Medicine | 1801 Ailor Ave, Knoxville, TN 37921-5845 | 2018-08-07 |
| 1003307422 | Dakotah Asher | Family Medicine | 4629 Mill Branch Ln, Knoxville, TN 37938-3358 | 2018-05-21 |
| 1417461211 | Lean Knox, LLC | Family Medicine | 1415 Old Weisgarber Rd. Ste 350, Knoxville, TN 37909 | 2017-12-01 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1982133559 | Morgan Spurlock | Family Medicine | 2519 Willow Point Way, Knoxville, TN 37931-3162 | 2017-06-07 |
| 1700332624 | Halls Physician Services, Pllc | Family Medicine | 7000 Maynardville Highway, Knoxville, TN 37918-5736 | 2016-08-31 |
| Find all providers in KNOXVILLE | ||||
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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.