Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lacey A Cooper, NP-C

Individual provider Adult Health Nurse Practitioner · NPI 1639796477

Lacey A Cooper, NP-C is a Nurse Practitioner in Salt Lake City, Utah. Qualified in 2020, 6 years ago. Practices with Mmg Stansbury Family Practice LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2020
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone: (702) 281-8904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 9043708-4409 (UT)

Record details

NPI number1639796477
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJune 27, 2020
Last updated in NPPESNovember 12, 2021
Certification dateNovember 12, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mmg Stansbury Family Practice Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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