MS. MARY COOK (NPI# 1417493115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417493115 |
| Entity Type | Individual |
| Full Name | MS. MARY COOK |
| Practice Address |
2721 E Corona Ave Phoenix AZ 85040-2733 |
| Practice Telephone | 6025754310 |
| Practice Fax Number | 6022431483 |
| Mailing Telephone | 6025754310 |
| Mailing Fax Number | 6022431483 |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
6483494 | AZ | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487289922 | Mary Katherine Cook | Social Worker | 190 Lancaster St Ste 310, Portland, ME 04101-2058 | 2020-03-05 |
| 1215586540 | Mary Cook | Specialist/Technologist | 338 Cavan Dr, Pittsburgh, PA 15236-4323 | 2019-09-09 |
| 1386130763 | Mary Catherine Cook | Family Medicine | 2899 Valley Rd, Cuyahoga Falls, OH 44223-1262 | 2018-07-09 |
| 1598127631 | Mary Cook | Counselor | 809 Bradfield Dr, Trotwood, OH 45426-2505 | 2016-03-28 |
| 1134509813 | Mary Olivia Cook | Dentist | 1 Woodgreen Pl Ste 100, Madison, MS 39110-8161 | 2015-06-08 |
| 1609272053 | Mary Whitney Cook | Occupational Therapist | 1915 Jacks Creek Rd, Richmond, KY 40475-9470 | 2014-11-12 |
| 1871747378 | Mary Lorraine Cook | Physical Therapist | 984 Humphrey Rd, Earlville, NY 13332-3401 | 2008-11-11 |
| 1730100090 | Mary Frances Cook | Acupuncturist | 1530 Dekalb Ave Ne, Suite C, Atlanta, GA 30307-2176 | 2006-07-22 |
| 1114538840 | Mary Kathleen Cook | Counselor | 8915 Sw Center St, Tigard, OR 97223-6307 | 2020-08-15 |
| 1528690708 | Mary Cook | Behavior Technician | 1613 Prospect Pkwy, Suite 110, Fort Collins, CO 80525-9769 | 2020-02-06 |
| Street Address |
2721 E CORONA AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85040-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104459072 | Xyz Mobility LLC | Durable Medical Equipment & Medical Supplies | 4014 East Broadway Rd, Suite 405, Phoenix, AZ 85040 | 2020-02-19 |
| 1184162588 | Moses Assisted Living LLC | Community Based Residential Treatment Facility, Mental Illness | 827 E Chipman Rd, Phoenix, AZ 85040 | 2017-02-06 |
| 1083164149 | K & C Ventures LLC | Day Training, Developmentally Disabled Services | 4013 E Broadway Road, Phoenix, AZ 85040 | 2016-10-12 |
| 1952767956 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 4022 E Broadway Rd, Suite 119, Phoenix, AZ 85040 | 2016-01-06 |
| 1679947238 | Garcia's Assisted Living Home LLC | Custodial Care Facility | 2742 E Pueblo Avenue, Phoenix, AZ 85040 | 2015-11-19 |
| 1578956280 | Ashley Elizabeth Church | Physical Therapist | 5750 S. 32nd St, Phoenix, AZ 85040 | 2015-03-05 |
| 1720480940 | Above and Beyond Care Providers | Exclusive Provider Organization | 2136 E. Bowker St, Phoenix, AZ 85040 | 2014-09-18 |
| 1275708505 | Jennifer Louise Koslo | Nutritionist | 5633 South 42nd Street, Phoenix, AZ 85040 | 2008-04-28 |
| 1639200017 | Kevin Wayne Jones | Specialist/Technologist | 5621 S. 24th Street, Jones Concrete Construction LLC, Phoenix, AZ 85040 | 2007-03-08 |
| 1861529109 | Jayesh C Patel | Dentist | 522 East Southern Ave, Phoenix, AZ 85040 | 2007-02-27 |
| Find all providers in zip 85040 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528608601 | Kathy Armstrong | Technician | 120 W Dobbins Rd Apt 109120w, Phoenix, AZ 85041-8536 | 2020-01-07 |
| 1447710652 | Sierrabehavioralhealth.llc | Technician | 18427 N 33rd Ave, Phoenix, AZ 85053-1050 | 2019-03-22 |
| 1427555689 | Andrew Lopez | Technician | 6730 N 17th Ave Apt 201, Phoenix, AZ 85015-1394 | 2018-04-12 |
| 1205380003 | Deanna La Shun Owens | Technician | 1933 W Burgess Ln, Phoenix, AZ 85041-5440 | 2016-08-09 |
| 1649655036 | Simone Kjolsrud | Technician | 1326 E Palm Ln, Phoenix, AZ 85006-2201 | 2015-07-27 |
| 1487056636 | Pamela Renee Govan | Technician | 11624 N 39th Ave, Phoenix, AZ 85029-3119 | 2014-09-18 |
| 1487920476 | Carma C Umpleby | Technician | 2642 E Willetta St, Phoenix, AZ 85008-4613 | 2012-03-24 |
| 1093080186 | Thomas Burris | Technician | 6842 S 40th Pl, Phoenix, AZ 85042-5105 | 2012-03-21 |
| 1538434626 | Tomasa Melendez | Technician | 1320 W Tamarisk St, Phoenix, AZ 85041-2350 | 2012-03-21 |
| 1508131608 | Khameelah Shabazz | Technician | 1632 E Vineyard Rd, Phoenix, AZ 85042-5724 | 2012-03-21 |
| Find all providers in PHOENIX | ||||
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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.