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LISA COOPER MD
NPI 1417412370
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since February 05, 2019PECOS Enrolled
110 FRANCIS ST BLDG SUITE1A, BOSTON, MA 02215(617) 632-8684 Get Directions Write a Review

NPPES record last updated: October 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 1, 2019, Feb 5, 2019 (2 updates tracked since 2019).

About Lisa Cooper Md NPPES

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

LISA COOPER MD (NPI 1417412370) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417412370
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLISA COOPERCredential: MD
Location Address110 FRANCIS ST BLDG SUITE1ABoston, MA 02215-5501
Mailing Address110 Francis St Bldg Suite1aBoston, MA 02215-5501 · (617) 632-8684
Phone(617) 632-8684
Sole ProprietorNo
Enumeration DateFebruary 5, 2019
Last NPPES UpdateOctober 1, 20192 updates tracked since enumeration
✔ NPI 1417412370 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.
110 FRANCIS ST BLDG SUITE1A, Boston, MA 02215
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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)

Lisa Cooper Md 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 Lisa Cooper's NPI number?

The NPI number for Lisa Cooper is 1417412370. It was assigned to this individual provider in the NPPES registry on February 5, 2019.

Where is Lisa Cooper located?

Lisa Cooper practices at 110 Francis St Bldg Suite1a, Boston, MA 02215. The listed phone number is (617) 632-8684.

What is Lisa 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 Lisa Cooper enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Cooper was last updated on October 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.