SAMUEL A. COOK (NPI# 1649817222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649817222 |
| Entity Type | Individual |
| Full Name | SAMUEL A. COOK |
| Credential | APNP |
| Practice Address |
515 22nd Ave Monroe WI 53566-1569 |
| Mailing Address |
2302 11th St Monroe WI 53566 |
| Practice Telephone | 6083241049 |
| Mailing Telephone | 6308258433 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 9775-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043360563 | Samuel Cook | Case Manager/Care Coordinator | 9605 Grand River Ave., Detroit, MI 48204-2139 | 2007-01-10 |
| 1255990297 | Samuel Cook | Student in an Organized Health Care Education/Training Program | 300 Hillmont Ave, Bldg 340, Suite 201, Ventura, CA 93003-1651 | 2019-06-12 |
| 1881156214 | Samuel David Cook | Student in an Organized Health Care Education/Training Program | 27005 76th Ave Bldg C, New Hyde Park, NY 11040-1402 | 2019-04-04 |
| 1144782079 | Samuel George Cook | Student in an Organized Health Care Education/Training Program | 128 E Apple St Fl 2, Dayton, OH 45409-2902 | 2019-04-01 |
| 1932637956 | Samuel Cook | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Oklahoma City, OK 73104-5018 | 2017-06-03 |
| 1033307939 | Samuel William Cook IIi | Physician Assistant | 2410 Susannah Street, Johnson City, TN 37601-1748 | 2007-10-05 |
| Street Address |
515 22ND AVE |
| City | MONROE |
| State | WI |
| Zip Code | 53566-1569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659354553 | Mark W. Collar | Anesthesiology | 515 22nd Ave, Monroe Clinic, Monroe, WI 53566-1569 | 2005-11-23 |
| 1316546724 | Melissa Anne Anderson | Nurse Practitioner | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-10-19 |
| 1356949382 | Olivia Caroline Lemanski | Pharmacist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-10-12 |
| 1023620382 | Katelyn Rebecca Marie Neverman | Pharmacist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-08-18 |
| 1619586393 | Lauren Marie Shawl | Social Worker | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-07-28 |
| 1508484676 | Ashley Moore | Pharmacist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-07-06 |
| 1164043584 | Erica Yumi Yamamoto | Student in an Organized Health Care Education/Training Program | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-04-27 |
| 1982231668 | Scott Soja | Specialist/Technologist | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-03-24 |
| 1942835707 | Daniel Douglas Troutner | Physician Assistant | 515 22nd Ave, Monroe, WI 53566-1569 | 2020-03-11 |
| 1316588213 | Peter J Oberley | Pharmacist | 515 22nd Ave, Monroe, WI 53566-1598 | 2019-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548752967 | Mariah Mohns | Occupational Therapy Assistant | N3150 Wi- 81, Monroe, WI 53566 | 2018-06-01 |
| 1811414907 | Yelena Gapchenko | Pharmacist | 515 22nd St., Monroe, WY 53566 | 2017-08-29 |
| 1508306283 | Hilary Domke | Occupational Therapist | N3150 Wi-81, Monroe, WI 53566 | 2017-03-01 |
| 1699132332 | Lisa Marty | Social Worker | N3152 Wi-81, Monroe, WI 53566 | 2016-01-26 |
| 1518223148 | Lauren Nibler Craddock | Dermatology | 412 18th Ave, Monroe, WI 53566 | 2012-04-09 |
| 1033482799 | Amber Gatdula | Physical Therapy Assistant | 2628 14th Street, Monroe, WI 53566 | 2012-02-10 |
| 1629361043 | Tammy Noble | Licensed Practical Nurse | N2546 Ullom Rd., Monroe, WI 53566 | 2011-05-18 |
| 1023331683 | Kristine Hudson | Registered Nurse | 1110 11th Street, Monroe, WI 53566 | 2010-03-10 |
| 1306005012 | Rosemary Ann Graham | Registered Nurse | 2413 5th Ave, Monroe, WI 53566 | 2008-06-06 |
| 1174702559 | Kelly Jo Jenson | Chiropractor | 1518 11th Street, Suite 1-2, Monroe, WI 53566 | 2007-11-01 |
| Find all providers in zip 53566 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376162 | Jody Kusheba | Nurse Practitioner | 72 Cottage St, Monroe, CT 06468-2917 | 2020-08-16 |
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1164075453 | Lisa Marie Kelly | Nurse Practitioner | 10 E Front St Apt B, Monroe, MI 48161-2269 | 2019-07-16 |
| 1205496361 | Anna Grace Livingston | Nurse Practitioner | 2509 Broadmoor Blvd Ste A, Monroe, LA 71201-3184 | 2019-06-19 |
| 1255898417 | Natalie Movsessian | Nurse Practitioner | 402 Stewart Rd, Monroe, MI 48162-4273 | 2019-02-25 |
| 1609358829 | Connie Sue Keller | Nurse Practitioner | 5038 Southpointe Pkwy, Monroe, MI 48161-4540 | 2018-09-04 |
| 1932689965 | Lewis Medical of Northeast Louisiana | Nurse Practitioner | 470 Springhill Rd, Monroe, LA 71203-9696 | 2018-08-20 |
| 1407348352 | Matthew D Mcguffee | Nurse Practitioner | 2516 Broadmoor Blvd Ste 2c-2, Monroe, LA 71201-2988 | 2018-06-05 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1104352319 | Cliff R. Ferreira | Nurse Practitioner | 730 N Monroe St, Suite #319, Monroe, MI 48162-2972 | 2017-05-08 |
| Find all providers in MONROE | ||||
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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.