Dr. Bailee Cooper, PhD, RDN, LD
Dietitian, Registered in Lubbock, TX. Individual provider (NPI-1).
NPI number1336780220
StatusActive
Last updated in NPPESDec 9, 2022
Details
- NPI
- 1336780220
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bailee Cooper
- Credential
- PhD, RDN, LD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2019
- Certification date
- Dec 6, 2022
- Last updated
- Dec 9, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT84706 | TX | Yes |
Practice location
6313 N Fm 179Lubbock, TX 79363
Phone 325-374-6185 · Fax 806-207-3479
Mailing address
6313 N Fm 179Lubbock, TX 79363
Phone 325-374-6185 · Fax 806-207-3479
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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