CARLY COOPER
NPI 1255129110
Student in an Organized Health Care Education/Training Program in Vermillion, SD

Q: What is Carly Cooper's NPI number?

The NPI number for Carly Cooper is 1255129110. It was assigned to this individual provider in the NPPES registry on April 29, 2025.

Q: What is Carly Cooper's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Carly Cooper was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 29, 2025PECOS Enrolled

414 E CLARK ST APT 420, VERMILLION, SD 57069(605) 641-7117 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Carly Cooper NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY COOPER (NPI 1255129110) is an individual student in an organized health care education/training program in Vermillion, South Dakota and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255129110

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCARLY COOPER

Location Address414 E CLARK ST APT 420Vermillion, SD 57069-2307

Mailing Address414 E Clark St Apt 420Vermillion, SD 57069-2307 · (605) 641-7117

Phone(605) 641-7117

Sole ProprietorYes

Enumeration DateApril 29, 2025

NPPES CertifiedApril 27, 2025

✔ NPI 1255129110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

414 E CLARK ST APT 420, Vermillion, SD 57069

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Cooper is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Cooper's NPI number?

The NPI number for Carly Cooper is 1255129110. It was assigned to this individual provider in the NPPES registry on April 29, 2025.

Where is Carly Cooper located?

Carly Cooper practices at 414 E Clark St Apt 420, Vermillion, SD 57069. The listed phone number is (605) 641-7117.

What is Carly Cooper's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carly Cooper enrolled in Medicare?

Yes. Carly Cooper is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carly Cooper was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.