CRYSTAL ANN COOPER (NPI# 1699029462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699029462 |
| Entity Type | Individual |
| Full Name | CRYSTAL ANN COOPER |
| Credential | APRN |
| Practice Address |
39 Cumberland Gap Plz Gray KY 40734-4536 |
| Mailing Address |
Po Box 1325 Corbin KY 40702-1325 |
| Practice Telephone | 6065269005 |
| Practice Fax Number | 6065268607 |
| Mailing Telephone | 6065268131 |
| Mailing Fax Number | 6065288661 |
| Enumeration Date | 2012-11-01 |
| Last Update Date | 2019-01-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3007739 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICARE PTAN | K068550 | 01 |
| KY | 7100225480 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154803815 | Crystal G Cooper | Speech-Language Pathologist | 5008 Mark Ln, Mt Pleasant, TX 75455-6506 | 2018-08-29 |
| 1053655688 | Crystal Cooper | Counselor | 655 S Orcas St, Suite 122, Seattle, WA 98108-2648 | 2012-11-20 |
| 1760611230 | Crystal Lee Cooper | Licensed Practical Nurse | 2908 Amoy Ganges Rd, Mansfield, OH 44903-9769 | 2009-07-06 |
| 1942453261 | Crystal M. Cooper | Physician Assistant | 900 Independence Rd., Coal City, WV 25823-1240 | 2008-10-30 |
| 1962559591 | Crystal Marnette Cooper | Pharmacist | 6319 Sunlit Orchard Dr, Houston, TX 77072-2485 | 2007-01-04 |
| 1376017269 | Crystal Lakeina Cooper | Social Worker | 807 E Washington St, Medina, OH 44256-3338 | 2019-01-14 |
| 1821513482 | Crystal Cooper | Case Manager/Care Coordinator | 710 N High St, Mount Orab, OH 45154-8349 | 2017-08-04 |
| 1689103798 | Crystal Cooper | Emergency Medicine | 24911 Little Mack Ave Ste C, Saint Clair Shores, MI 48080-3200 | 2017-06-12 |
| 1154712586 | Crystal Cooper | Counselor | 30 Old Lyman Rd, South Hadley, MA 01075-2630 | 2015-02-06 |
| 1679973002 | Crystal Cooper | Licensed Practical Nurse | 650 S Peoria Ave, Tulsa, OK 74120-4429 | 2014-09-04 |
| Street Address |
39 CUMBERLAND GAP PLZ |
| City | GRAY |
| State | KY |
| Zip Code | 40734-4536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346242641 | Knox County Family Practice Clinic, Inc. | Nurse Practitioner | 39 Cumberland Gap Plz, Ste 1, Gray, KY 40734-4536 | 2005-06-01 |
| 1396257358 | Rita Carol Gilbert | Nurse Practitioner | 39 Cumberland Gap Plz, Gray, KY 40734-4536 | 2017-10-31 |
| 1447702659 | Angela Eversole | Nurse Practitioner | 39 Cumberland Gap Plz, Gray, KY 40734-4536 | 2016-11-04 |
| 1194173203 | Sandra J Nantz | Psychologist | 39 Cumberland Gap Plz, Gray, KY 40734-4536 | 2016-05-31 |
| 1457784159 | Veronica L Boley | Nurse Practitioner | 39 Cumberland Gap Plz, Gray, KY 40734-4536 | 2013-08-16 |
| 1821439746 | Tammy S. Saylor | Nurse Practitioner | 39 Cumberland Gap Plz, Gray, KY 40734-4536 | 2013-07-08 |
| 1396184255 | Mary Beth Lopez | Nurse Practitioner | 39 Cumberland Gap Plz, Gray, KY 40734-4536 | 2013-06-24 |
| 1528407715 | Roberta L. York | Nurse Practitioner | 39 Cumberland Gap Plz, Gray, KY 40734-4536 | 2013-06-20 |
| 1326380304 | Vernon Eugene Taylor Jr. | Nurse Practitioner | 39 Cumberland Gap Plz, Gray, KY 40734-4536 | 2013-03-18 |
| 1700159886 | Janet Y Mosley | Nurse Practitioner | 39 Cumberland Gap Plz, Gray, KY 40734-4536 | 2012-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932622636 | Jessica Ashley Scearse | Specialist | 1892 Sam Parker Rd, Gray, KY 40734 | 2017-07-25 |
| 1043686561 | Ashley Barton | Nurse Practitioner | Us-25e Cumberland Gap Parkway, Gray, KY 40734 | 2015-08-19 |
| 1205905254 | Edna Eugenia Stewart | Nurse Practitioner | 39 Cumberland Gap Plaza, Gray, KY 40734-1401 | 2006-11-06 |
| 1801162672 | Superior Home Sleep Testing | Clinic/Center | 356 Highway 233, Gray, KY 40734-4504 | 2012-03-27 |
| 1174153514 | Redemption Road Recovery | Substance Abuse Rehabilitation Facility | 4222 Highway 830, Gray, KY 40734-4511 | 2020-01-24 |
| 1023105780 | Tammy L Freeman | Nurse Practitioner | 10755 N Us Highway 25e, Gray, KY 40734-6529 | 2006-10-06 |
| 1750557302 | Freeman Family Practice LLC | Nurse Practitioner | 10755 N Us Highway 25e, Gray, KY 40734-6529 | 2008-05-05 |
| 1477793818 | Erin Chadwell | Dietitian, Registered | 276 Woodlee Ln, Gray, KY 40734-6536 | 2009-02-25 |
| 1942717152 | Vickie Ann Mills | Nurse Practitioner | 147 Smith Hollow Rd, Gray, KY 40734-6574 | 2018-01-09 |
| 1689900896 | Melissa Garland | Health Educator | 5448 N Us Highway 25e, Gray, KY 40734-6582 | 2009-10-22 |
| Find all providers in zip 40734 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659934834 | Marianne Kimes | Nurse Practitioner | 798 Mckay Rd, Gray, GA 31032-3816 | 2019-04-15 |
| 1942717152 | Vickie Ann Mills | Nurse Practitioner | 147 Smith Hollow Rd, Gray, KY 40734-6574 | 2018-01-09 |
| 1457781353 | Kathryn Baker | Nurse Practitioner | 10755 N. Us Hwy 25e, Gray, KY 40734-7032 | 2013-11-14 |
| 1275673873 | Andree Elizabeth Leblanc | Nurse Practitioner | 123 Frontage Road A, Gray, LA 70359-6301 | 2007-02-06 |
| 1205905254 | Edna Eugenia Stewart | Nurse Practitioner | 39 Cumberland Gap Plaza, Gray, KY 40734-1401 | 2006-11-06 |
| 1740383157 | William Joseph Cote | Nurse Practitioner | 132 Old Gray Station Road, Gray, TN 37615-3434 | 2006-09-07 |
| 1194717157 | Susan Kay Pennypacker | Nurse Practitioner | 140 Old Gray Station Rd, Suite 200, Gray, TN 37615 | 2005-08-16 |
| 1497382162 | Rebecca Ann Alexander | Nurse Practitioner | 132 Old Gray Station Rd, Gray, TN 37615-3434 | 2020-03-24 |
| 1578195467 | Rachel A Edwards | Nurse Practitioner | 2103 Forest Dr Ste 5, Gray, TN 37615-8423 | 2020-02-07 |
| 1972069722 | Courtney Carroll | Nurse Practitioner | 2103 Forest Dr Ste 5, Gray, TN 37615-8423 | 2019-02-18 |
| Find all providers in GRAY | ||||
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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.