Individual ProviderKatherine CooperNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2600 NE 63rd St, Oklahoma City, OK 73111-3437(405) 419-4200PECOS EnrollmentBased on the most recent information from CMS, provider Katherine Cooper is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 7:33 AM.Profile DetailsProvider ID1578113833Provider TypeIndividualFull NameCooper, KatherineCredentialDNP, APRN, FNP-CGenderFemaleSole ProprietorNoEnumeration Date9/18/2019Last Updated6/26/2023Contact InformationPractice LocationPractice Address2600 NE 63rd St, Oklahoma City, OK 73111-3437Phone(405) 419-4200FaxUnlisted FaxMailing LocationMailing Address2600 NE 63rd St, Oklahoma City, OK 73111-3437Phone(405) 419-4200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense106029OklahomaCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense106029Oklahoma