MRS. JACQUELINE COOK (NPI# 1235764655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235764655 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE COOK |
| Credential | FNP |
| Practice Address |
7952 N 43rd Ave Glendale AZ 85301-1662 |
| Mailing Address |
9803 W Echo Ln Peoria AZ 85345-3723 |
| Practice Telephone | 6236286893 |
| Mailing Telephone | 6236286893 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
239048 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | CERTIFIED NURSE PRACTITIONER | 239048 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659840320 | Jacqueline Siegrid Cook | Nurse Practitioner | 2010 E Villa Maria Rd, Bryan, TX 77802-2582 | 2018-11-24 |
| 1902327638 | Jacqueline Jerrems Cook | Physical Therapist | 1040 Gulf Breeze Pkwy Ste 101, Gulf Breeze, FL 32561-7808 | 2017-07-03 |
| 1073979787 | Jacqueline Cook | Counselor | 47 Town St, Norwich, CT 06360 | 2016-01-11 |
| 1831414697 | Jacqueline Cook | Student in an Organized Health Care Education/Training Program | 20 York St, Yale-new Haven Hospital, New Haven, CT 06510 | 2010-04-05 |
| 1609066950 | Jacqueline L Cook | Nurse Practitioner | 960 E Walnut Lawn, Suite 201, Springfield, MO 65807 | 2007-08-01 |
| 1134211659 | Jacqueline Areltte Cook | Counselor | 2035 E Ball Rd, Anaheim, CA 92806-5159 | 2006-09-29 |
| 1164490082 | Jacqueline B Cook | Social Worker | 900 Ne 10th St, Oklahoma City, OK 73104-5420 | 2006-03-08 |
| Street Address |
7952 N 43RD AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85301-1662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932671559 | Banner Urgent Care Services, LLC | Clinic/Center | 7952 N 43rd Ave, Glendale, AZ 85301-1662 | 2018-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164051900 | Stateserv Medical of Phoenix LLC | Durable Medical Equipment & Medical Supplies | 5234 W. Missouri, Glendale, AZ 85301 | 2020-04-03 |
| 1366988933 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5148 W. Frier Dr, Glendale, AZ 85301 | 2017-01-06 |
| 1306227830 | Sage Counseling, Inc. | Community/Behavioral Health | 6610 N. 47th Avenue, Suites 6, 7 & 8, Glendale, AZ 85301 | 2015-06-10 |
| 1477802023 | Lori Wyke | Specialist/Technologist | 7301 N. 58th Avenue, Glendale, AZ 85301 | 2012-08-29 |
| 1144581257 | Jerry Harold Brue | Pharmacist | 7772 N 52nd Dr, Glendale, AZ 85301 | 2012-06-05 |
| 1558632935 | Jasmine Rojas | Licensed Practical Nurse | 7301 N. 58th Ave., Glendale Elem. Dist 40, Glendale, AZ 85301 | 2012-01-18 |
| 1184950438 | Victoria Joan Petti | Physical Therapist | 5125 N. 58th Ave, Glendale, AZ 85301 | 2009-10-21 |
| 1598907479 | Westside Speech & Language Services | Clinic/Center | 7415 N. 59th Ave, Glendale, AZ 85301 | 2009-03-24 |
| 1992940241 | Lorraine Pimentel Montes | Specialist | 4441 W. Bethany Home Rd, Glendale, AZ 85301 | 2008-12-15 |
| 1770739922 | Patricia Lee Click | Social Worker | 5400 W. Northern Avenue, Suite 120, Glendale, AZ 85301 | 2008-08-07 |
| Find all providers in zip 85301 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199481 | Steven Cleo Northern Jr. | Nurse Practitioner | 5820 W Greenway Rd Ste 124, Glendale, AZ 85306-3308 | 2020-09-17 |
| 1609493279 | Traci Marie Miramontes | Nurse Practitioner | 6001 W Northview Ave, Glendale, AZ 85301-1857 | 2020-06-30 |
| 1669097697 | Swazi Cromwell | Nurse Practitioner | 13408 N 53rd Ave, Glendale, AZ 85304-1378 | 2020-06-16 |
| 1922620590 | Bethany E Mainville | Nurse Practitioner | 8151 W Sierra Vista Dr, Glendale, AZ 85303-3217 | 2020-05-17 |
| 1184252678 | Revive Wellness and Rejuvenation LLC | Nurse Practitioner | 20229 N 67th Ave Ste C-a, Glendale, AZ 85308-6664 | 2020-03-30 |
| 1083247316 | Anna Lazzaro | Nurse Practitioner | 4760 W Ponderosa Ln, Glendale, AZ 85308-4872 | 2020-02-14 |
| 1760021422 | Judy Fong | Nurse Practitioner | 5220 W Dahlia Dr, Glendale, AZ 85304-1931 | 2019-12-29 |
| 1588207138 | Kristen Mitchell | Nurse Practitioner | 6922 W Kristal Way, Glendale, AZ 85308-5772 | 2019-10-25 |
| 1760038335 | Adrineh Kalantar Ohanian | Nurse Practitioner | 1139 E Lexington Dr, Glendale, CA 91206-3861 | 2019-08-09 |
| 1457904252 | Debra Goldman | Nurse Practitioner | 20325 N 51st Ave # 8, Glendale, AZ 85308-5674 | 2019-07-20 |
| Find all providers in GLENDALE | ||||
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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.