JANETTE SUE COOKE (NPI# 1497215982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497215982 |
| Entity Type | Individual |
| Full Name | JANETTE SUE COOKE |
| Other Name | JANETTE SUE MCMILLIN |
| Practice Address |
90 Hope Dr Mountain Home Afb ID 83648-1057 |
| Mailing Address |
5695 S Pepperview Way Boise ID 83709-4978 |
| Practice Telephone | 2088281238 |
| Mailing Telephone | 9492326497 |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-12-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| Y | 133V00000X | Dietitian, Registered | 913470 | CA | Dietary & Nutritional Service Providers |
| Street Address |
90 HOPE DR |
| City | MOUNTAIN HOME AFB |
| State | ID |
| Zip Code | 83648-1057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487200036 | Terrance Valdespino | Dental Assistant | 90 Hope Dr, Mountain Home Afb, ID 83648-1057 | 2019-08-09 |
| 1598224602 | Cody James Murray | Dentist | 90 Hope Dr, Mountain Home Afb, ID 83648-1057 | 2019-03-18 |
| 1922585140 | Heather Ford | Military Health Care Provider | 90 Hope Dr, Mountain Home Afb, ID 83648-1057 | 2018-07-20 |
| 1639664006 | Paul Sahwell | Psychologist | 90 Hope Dr, Mountain Home Afb, ID 83648-1057 | 2018-06-27 |
| 1528551751 | Ryan D Kainrath | Military Health Care Provider | 90 Hope Dr, Mountain Home Afb, ID 83648-1057 | 2018-06-12 |
| 1265948897 | Alyse Marie Denittis | Physician Assistant | 90 Hope Dr, Mountain Home Afb, ID 83648 | 2017-12-19 |
| 1891224473 | Jared Getzlaff | Military Health Care Provider | 90 Hope Dr, Mountain Home Afb, ID 83648 | 2017-06-07 |
| 1548796527 | Derek J Dutson | Dentist | 90 Hope Dr, Mountain Home Afb, ID 83648 | 2017-05-11 |
| 1093109449 | Andrea Lynn Moore | Student in an Organized Health Care Education/Training Program | 90 Hope Dr, Mountain Home Afb, ID 83648 | 2015-03-24 |
| 1376940502 | Christopher Henderson | Physician Assistant | 90 Hope Dr, Bldg. 6000, Mountain Home Afb, ID 83648-1057 | 2014-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851528392 | Amy Jo Glover | Military Health Care Provider | 90 Hope Dr. Bldg 6000, Mountain Home, ID 83648 | 2009-06-11 |
| 1306051065 | Thomas Michael Smith | Social Worker | 90 Hope Dr Bldg 1900, Mountain Home Afb, ID 83648 | 2007-05-14 |
| 1316005143 | Ronald Wesley Bailey | Radiology | Mountain Home Afb Medical Group, 90 Hope Drive, Building 6000, Mountain Home Afb, ID 83648 | 2006-12-05 |
| 1992780597 | Randall Jay Moore | Preventive Medicine | 366mdg/sgpf, 90 Hope Drive; Bldg 6000, Mountain Home Afb, ID 83648 | 2005-12-07 |
| 1356325666 | Joseph Carroll Skinner Jr. | Nurse Anesthetist, Certified Registered | 366 Mdos, Sgosa, 90 Hope Drive, Mountain Home Afb, ID 83648 | 2005-11-30 |
| 1023007846 | Craig Loyd Folsom | Dentist | 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 | 2005-10-14 |
| 1477547271 | Ron Stumbo | Pharmacist | Mountain Home Afb, Mountain Home Afb, ID 83648 | 2005-09-07 |
| 1154315943 | Georgette Ann Trezvant | Social Worker | 366 Medical Operations Squadron, 90 Hope Drive, Bldg 6000, Mt. Home Air Force Base, ID 83648 | 2005-09-07 |
| 1164893202 | Craig Jensen | Optometrist | 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 | 2015-10-15 |
| 1730582438 | Kyle Christensen | Dentist | 90 Hope Dr Bldg 6000, Mountain Home Afb, ID 83648 | 2014-10-08 |
| Find all providers in zip 83648 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272965 | Katelyn Diane John | Dietitian, Registered | 967 N Clithero Dr, Boise, ID 83703-5703 | 2020-10-09 |
| 1942816871 | Vanessa Yvonne Engle | Dietitian, Registered | 1095 S Stateline Rd, Driggs, ID 83422-4727 | 2020-09-16 |
| 1992310148 | Ellie Rock | Dietitian, Registered | 5424 N Sun Shimmer Ave, Meridian, ID 83646-5536 | 2020-09-14 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1639781743 | Anna Speegle | Dietitian, Registered | 427 Meadowview Ln, Twin Falls, ID 83301-6883 | 2020-08-19 |
| 1477179646 | Kayla Lynne Johnson | Dietitian, Registered | 570 Cobra Ct, Twin Falls, ID 83301-5694 | 2020-06-23 |
| 1245855113 | Megan Jensen | Dietitian, Registered | 6929 W Trail Dr, Boise, ID 83704-4568 | 2020-06-16 |
| 1063035004 | Chrisann M Hinson | Dietitian, Registered | 4716 W Quaker Ridge Dr, Meridian, ID 83646-5042 | 2020-05-26 |
| 1609497551 | Aaron Robert Calvano | Dietitian, Registered | 5350 N Moose Creek Ave, Meridian, ID 83646-3639 | 2020-05-01 |
| 1437779469 | Nutrition Dejunked LLC | Dietitian, Registered | 3350 W Americana Ter Ste 215, Boise, ID 83706-2545 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN HOME AFB |
| Zip Code | 83648 |
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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.