DEUNDRA T COOKE (NPI# 1306312517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306312517 |
Entity Type | Individual |
Full Name | DEUNDRA T COOKE |
Credential | PMHNP-BC |
Practice Address |
102 Buford Ave Anderson SC 29621-3363 |
Mailing Address |
15 Riverbed Dr Greenville SC 29605-6425 |
Practice Telephone | 8642619506 |
Enumeration Date | 2018-10-16 |
Last Update Date | 2018-10-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
22322 | SC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
102 BUFORD AVE |
City | ANDERSON |
State | SC |
Zip Code | 29621-3363 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538381223 | Jason Andrew Single | Dentist | 102 Buford Ave, Suite A, Anderson, SC 29621-3363 | 2007-05-03 |
1730393299 | Jason A Single Dds LLC | Dentist | 102 Buford Ave, Suite A, Anderson, SC 29621-3363 | 2007-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114574241 | Kathryn L Harwick | Social Worker | 3030 Sc-81, Anderson, SC 29621 | 2019-08-22 |
1326517194 | Ashlea Bronwen Bates | Nurse Practitioner | 3424 Clemson Blvd., Anderson, SC 29621 | 2018-11-21 |
1770051708 | Bailee Vernon Mccarley | Nurse Practitioner | 800 Fant St, Anderson, SC 29621 | 2018-11-07 |
1790278893 | Morgan Cutts | Speech-Language Pathologist | 126 Broadbent Way, Suite A, Anderson, SC 29621 | 2018-06-13 |
1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
1205342169 | Robert Allen Dameron Jr. | Orthopaedic Surgery | 130 Longview Drive, Anderson, SC 29621 | 2017-12-14 |
1578085411 | Michael Jason Bell | Contractor | 520 Hwy 29 Bypass N, Anderson, SC 29621 | 2017-07-12 |
1639629983 | Todd E. Hamilton | Dentist | 1112 Cornelia Road, Anderson, SC 29621 | 2016-10-11 |
1760939110 | Crystal Vaughn | Nurse Practitioner | Sac Anmed Health 2000 East Greenville Street, Anderson, SC 29621 | 2016-09-01 |
1992151328 | Veronica Williams | Non-emergency Medical Transport (VAN) | 2314 Old Williamston Road, Anderson, SC 29621 | 2016-05-04 |
Find all providers in zip 29621 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427608603 | Angela Williams | Nurse Practitioner | 5349 Fm 244 Rd, Anderson, TX 77830-8959 | 2019-09-19 |
1427443894 | Karen Powell | Nurse Practitioner | 4124 Clemson Blvd Ste E, Anderson, SC 29621-1186 | 2015-04-02 |
1992705792 | Valerie J Bruderly | Nurse Practitioner | 2210 Jackson St, Anderson, IN 46016-4363 | 2005-07-22 |
1346841947 | Anna Tirman | Nurse Practitioner | 1229 Lincoln St, Anderson, IN 46016-1693 | 2020-11-02 |
1790394922 | Magdalene Oluwamayowa Bambo | Nurse Practitioner | 2210 Jackson St, Anderson, IN 46016-4363 | 2020-07-23 |
1295343689 | Glenda Janice Grovenberry | Nurse Practitioner | 2210 Jackson St, Anderson, IN 46016-4363 | 2020-07-21 |
1174165054 | Heather Marshall Ford | Nurse Practitioner | 800 N Fant St, Anderson, SC 29621-5708 | 2019-10-12 |
1134775463 | Rana Magill Stoops | Nurse Practitioner | 2020 Brown St, Anderson, IN 46016-4218 | 2019-08-13 |
1104472406 | Jaima L Byrd | Nurse Practitioner | 2020 Brown St, Anderson, IN 46016-4218 | 2019-08-13 |
1013340066 | Thomasina Marie Wrangham | Nurse Practitioner | 2210 Jackson St, Anderson, IN 46016-4363 | 2013-08-14 |
Find all providers in ANDERSON |
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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.