Mrs. Kara Marie Cooper
Nurse Practitioner (Adult Health)

Address: 2221 Oak St, Forest Grove, OR 97116
Phone: 5033726277

Mrs. Kara Marie Cooper (NPI# 1023324415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1023324415
Entity Type Individual
Full Name Mrs. Kara Marie Cooper
Credential NP
Gender Female
Practice Address 2221 Oak St
Forest Grove
OR 97116
Practice Telephone 5033726277
Practice Fax Number 5037187246
Mailing Address Po Box 3294
Hillsboro
OR 97123
Mailing Telephone 5033726277
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2010-08-24
Last Update Date 2016-11-28

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 163W00000X Registered Nurse Nursing Service Providers 201143396RN OR
Yes 363LA2200X Nurse Practitioner · Adult Health Physician Assistants & Advanced Practice Nursing Providers 201150171NP OR
No 363LA2200X Nurse Practitioner · Adult Health Physician Assistants & Advanced Practice Nursing Providers COA.11762-NP OH

Providers with the same name

NPI Name Taxonomy Address Enumeration
1821336678 Kara Dianne Cooper Technician, Pathology 1839 N Monticello Ave, 2w, Chicago, IL 60647-4740 2013-01-29
1053596940 Kara Aubrey Cooper Counselor 721 Fawcett Ave Metropolitan Development Council, Tacoma, WA 98402 2008-01-09
1942812284 Kara Emily Cooper Pharmacist 42 Main St, Pittston, PA 18640-3103 2020-08-18
1568025153 Kara Noelle Cooper Massage Therapist 2121 W Burnside St, Portland, OR 97210-3519 2019-04-18
1770974404 Kara Cooper Counselor 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 2015-02-17
1588671747 Kara L. Cooper Family Medicine 4800 E Johnson Ave, Jonesboro, AR 72401-8413 2006-08-01

Physician Overview

NPI 1023324415
PAC ID by PECOS 6002000403
Professional Enrollment ID I20130729000389
Full Name Kara M Cooper
Organization Legal Name SENIOR CARE NORTHWEST
Phone Number 5033576409
Gender F
Graduation Year 2010
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 2466687215
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
380021 TUALITY COMMUNITY HOSPITAL
380061 PROVIDENCE PORTLAND MEDICAL CENTER

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_2 Syndromic Surveillance Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_2 Syndromic Surveillance Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013260181 Sharon Louise Benjamin Nurse Practitioner 2724 Harvest Ct, Forest Grove, OR 97116 2012-10-25
1447685631 Senior Care Northwest Nurse Practitioner 3300 19th Ave, Forest Grove, OR 97116 2013-09-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1992315972 Deborah Marie Jones Nurse Practitioner 15800 Boones Ferry Rd Ste A6, Lake Oswego, OR 97035-3426 2020-08-05
1184257115 Joanna Rae Farrell Nurse Practitioner 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 2020-02-18
1790241065 Autumn D Mercer Agnp-c LLC Nurse Practitioner 1075 Shayla Ln, Central Point, OR 97502-2995 2019-02-12
1437648946 Stephanie Michele Johnson Nurse Practitioner 3560 Se 79th Ave, Portland, OR 97206-2372 2018-05-09
1235684937 Melanie Salvador Nurse Practitioner 15352 Sw Oakmont Pl, Tigard, OR 97224 2016-08-23
1003275843 Catherine Chiaradonna Nurse Practitioner 1867 Williams Hwy Ste 226, Grants Pass, OR 97527-5856 2016-02-22
1801266119 Daniel Dominic Eric Roa Nurse Practitioner 5316 N Greeley Ave, Portland, OR 97217-4113 2015-09-29
1538578067 Karen Lee Warren Nurse Practitioner 727 S Wahanna Rd Ste 100, Seaside, OR 97138-7735 2014-08-08
1245579408 Derek Brent Kordenbrock Nurse Practitioner 625 Sw Ramsey Ave Ste A, Grants Pass, OR 97527-5808 2013-02-07
1164797536 Corie Ann Shaevitz Nurse Practitioner 10550 Lake Dr Se, Salem, OR 97306-8107 2012-03-18
Find all providers with the same taxonomy

Office Location

Street Address 2221 OAK ST
City FOREST GROVE
State OR
Zip Code 97116

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730705823 Jennings Mccall Center Assisted Living Facility 2221 Oak St, Forest Grove, OR 97116-2052 2020-06-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780220988 Jenny Park Social Worker 2023 Hawthorne Street, Building C, Forest Grove, OR 97116 2019-11-22
1447742077 Kimberly K Sabin Doula 1239 Goff Rd, Forest Grove, OR 97116 2018-05-30
1891205266 Sonam Narayan Optometrist 2221 Pacific Avenue, Forest Grove, OR 97116 2017-10-11
1013260181 Sharon Louise Benjamin Nurse Practitioner 2724 Harvest Ct, Forest Grove, OR 97116 2012-10-25
1336445535 Shane Michael Peterson Physical Therapist 3300 19th Avenue, Forest Grove, OR 97116 2011-02-04
1811229792 Rachel Lucinda Erin Dilly Speech-Language Pathologist 3300 19th Ave., Forest Grove, OR 97116 2010-02-03
1720286339 Thuymai Anna Fee Physical Therapist Custom Care Physical Therapy, 4150 Pacific Ave. #100, Forest Grove, OR 97116 2007-07-05
1629102454 Lois Elizabeth Yevdalcia Dimick Massage Therapist 2004 Main St, Suite 204, Forest Grove, OR 97116 2007-03-15
1023159936 Ninette Kay Foster Contractor 2329 Pacific Ave., Forest Grove, OR 97116 2007-02-12
1063573970 James D Surface Physical Therapist 1909 Mountain View Ln #300, Forest Grove, OR 97116 2006-12-13
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Competitor

Search similar providers

City FOREST GROVE
Zip Code 97116

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Dataset Information

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.