CANDACE K COOK (NPI# 1043277197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043277197 |
| Entity Type | Individual |
| Full Name | CANDACE K COOK |
| Credential | FNP |
| Practice Address |
Coulterville Medical Clinic 203 East Grant Coulterville IL 62237 |
| Practice Telephone | 6187582331 |
| Mailing Telephone | 6187582331 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2016-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.004563 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951913 | Candace Delight Cook | Counselor | 3707 E Southern Ave Ste 2016, Mesa, AZ 85206-6213 | 2020-01-08 |
| 1104283985 | Candace Lyn Cook | Licensed Practical Nurse | 295 E Archwood Ave, Akron, OH 44301-2101 | 2016-01-25 |
| 1407251762 | Candace Faith Cook | Hearing Instrument Specialist | 765 Jim Blake Rd, Jacksonville, NC 28540-7705 | 2014-10-29 |
| 1740267202 | Candace Elena Cook | Speech-Language Pathologist | 2675 Court Dr, Gastonia, NC 28054-1478 | 2005-12-27 |
| 1023632825 | Candace Cook | Behavior Technician | 733 Dante St, New Orleans, LA 70118-1013 | 2020-06-08 |
| 1497988372 | Candace Cook | Speech-Language Pathologist | 700 University Blvd E, Tuscaloosa, AL 35401-2028 | 2009-08-26 |
| Street Address |
COULTERVILLE MEDICAL CLINIC 203 EAST GRANT |
| City | COULTERVILLE |
| State | IL |
| Zip Code | 62237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023075264 | Shawn Beckemeyer | Family Medicine | Coulterville Medical Clinic, 203 East Grant, Coulterville, IL 62237 | 2006-05-01 |
| 1083721567 | Sparta Community Hospital D/b/a Quality Healthcare Clinics | Clinic/Center | Coulterville Medical Clinic, 203 East Grant, Coulterville, IL 62237 | 2006-08-23 |
| 1659338713 | Franklin James | Family Medicine | Coulterville Medical Clinic, 203 East Grant, Coulterville, IL 62237 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720636210 | Alberta M Woodside | Technician | 1083 Violet Rd, Coulterville, IL 62237 | 2019-08-28 |
| 1033693221 | Evelyn Claire Sweeney | Speech-Language Pathologist | 13138 Il-13, Coulterville, IL 62237 | 2018-09-24 |
| 1750652046 | Megan Bleem | Physical Therapy Assistant | 13138 Illinois 13, Coulterville, IL 62237 | 2012-01-19 |
| 1902466857 | Brenton Rains | Occupational Therapy Assistant | 13138 Il-13, Coulterville, IL 62237 | 2019-06-13 |
| 1962547315 | Coulterville Emergency Ambulance Service | Ambulance | 114 N. Fourth Street, Coulterville, IL 62237-0374 | 2007-02-21 |
| 1982875357 | Coulterville Unit District No 1 | Local Education Agency (LEA) | 101 West Grant Street, Coulterville, IL 62237-0396 | 2008-03-13 |
| 1346765344 | Theresa L Compton | Nurse Practitioner | Po Box 485, Coulterville, IL 62237-0485 | 2017-08-10 |
| 1457348435 | Coulterville Rehabilitation & Health Care Center, LLC | Skilled Nursing Facility | 13138 State Route 13, Coulterville, IL 62237-1134 | 2005-10-04 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760277 | Jennifer Michelle Kennedy | Nurse Practitioner | 3006 Lakeview Dr, Metropolis, IL 62960-3119 | 2020-11-07 |
| 1881295541 | Britney Julia Durst | Nurse Practitioner | 5905 N Prospect Rd, Peoria, IL 61614-4311 | 2020-11-07 |
| 1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
| 1932700911 | Laura Ivette Portillo | Nurse Practitioner | 2727 N Marmora Ave, Chicago, IL 60639-1219 | 2020-11-05 |
| 1265033385 | Carolle M Derradji | Nurse Practitioner | 3256 W Potomac Ave, Chicago, IL 60651-2411 | 2020-11-04 |
| 1104427293 | Katie Michelle O'halloran | Nurse Practitioner | 5841 S Maryland Ave # E500, Chicago, IL 60637-1443 | 2020-11-04 |
| 1598365140 | Caitlyn Windsor | Nurse Practitioner | 24525 Grange Rd, Geneseo, IL 61254-8429 | 2020-10-31 |
| 1578163515 | Deanna Bassette | Nurse Practitioner | 243 E 31st St Apt 401, Chicago, IL 60616-5212 | 2020-10-29 |
| 1891395745 | Vrunda Shah Patel | Nurse Practitioner | 933 W Van Buren St Apt 502, Chicago, IL 60607-3583 | 2020-10-29 |
| 1346840337 | Catherine Suh | Nurse Practitioner | 1380 Marcy Ln, Wheeling, IL 60090-4422 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
| City | COULTERVILLE |
| Zip Code | 62237 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.