SHANTANA COOPER PMHNP
NPI 1417829052
Nurse Practitioner - Psychiatric/Mental Health in Summerville, SC

Q: What is Shantana Cooper's NPI number?

The NPI number for Shantana Cooper is 1417829052. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Q: What is Shantana Cooper's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Shantana Cooper was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 September 23, 2025

208 GARDEN LILY LN, SUMMERVILLE, SC 29485(843) 801-8306 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shantana Cooper Pmhnp NPPES

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

SHANTANA COOPER PMHNP (NPI 1417829052) is an individual psychiatric/mental health provider in Summerville, South Carolina, licensed in South Carolina (245757) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1417829052

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSHANTANA COOPERCredential: PMHNP

Location Address208 GARDEN LILY LNSummerville, SC 29485-9230

Mailing Address208 Garden Lily LnSummerville, SC 29485-9230 · (843) 801-8306

Phone(843) 801-8306

Sole ProprietorYes

Enumeration DateSeptember 23, 2025

NPPES CertifiedSeptember 23, 2025

✔ NPI 1417829052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in SC · 245757

208 GARDEN LILY LN, Summerville, SC 29485

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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 Shantana Cooper's NPI number?

The NPI number for Shantana Cooper is 1417829052. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Where is Shantana Cooper located?

Shantana Cooper practices at 208 Garden Lily Ln, Summerville, SC 29485. The listed phone number is (843) 801-8306.

What is Shantana Cooper's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Shantana Cooper was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.