MRS. BERNADETTE TISDALE COOK (NPI# 1669994034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669994034 |
| Entity Type | Individual |
| Full Name | MRS. BERNADETTE TISDALE COOK |
| Practice Address |
2022 Poor House Road Lawrenceville VA 23868 |
| Mailing Address |
2022 Poor House Rd Lawrenceville VA 23868-2712 |
| Practice Telephone | (434) 247-1749 |
| Mailing Telephone | 4342471749 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2017-07-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WV0202X |
Contractor Specialization: Vehicle Modifications |
Other Service Providers |
| Street Address |
2022 POOR HOUSE ROAD |
| City | LAWRENCEVILLE |
| State | VA |
| Zip Code | 23868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313868 | Tri Counties Behavioral Health Services, LLC | Community/Behavioral Health | 1807 Piney Woods Road, Lawrenceville, VA 23868 | 2020-10-14 |
| 1902376551 | Lekicha Monique Cabiness | Counselor | 102 Hicks St. Suite 303, Lawrenceville, VA 23868 | 2018-11-27 |
| 1366926057 | Jpm Transportation LLC | Private Vehicle | 517 Sturgeon Road, Lawrenceville, VA 23868 | 2018-09-19 |
| 1538650098 | Pansy Smith Barner | Home Health | 2377 Old Stage Road, Lawrenceville, VA 23868 | 2018-05-21 |
| 1679084644 | Rita Latrice Seward | Non-emergency Medical Transport (VAN) | 201 North Hills Drive, 201 North Hills Drive, Lawrenceville, VA 23868 | 2017-10-18 |
| 1942726864 | Sonata Wall | Driver | 226 Brunswick Village Dr, Lawrenceville, VA 23868 | 2017-08-22 |
| 1427573971 | Leon Howard Smith II | Driver | 10460 Christanna Hwy, Lawrenceville, VA 23868 | 2017-08-06 |
| 1689047771 | Shevon Valentine | Point of Service | 1807 Piney Woods Rd, Lawrenceville, VA 23868 | 2015-11-11 |
| 1134501943 | Rickie Leonard Seward | Contractor | 218 Travis Dr, Lawrenceville, VA 23868 | 2015-06-29 |
| 1417340746 | Brunswick County Board of Supervisors | Ambulance | 1458 Lawrenceville Plank Road, Lawrenceville, VA 23868 | 2015-03-11 |
| Find all providers in zip 23868 | ||||
| Taxonomy Code | 171WV0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Vehicle Modifications |
| A contractor who makes modifications to private vehicles to accommodate a health condition. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679077952 | Rodney Harrison | Contractor | 854 Buford Dr Ste B, Lawrenceville, GA 30043-4583 | 2018-03-21 |
| 1134501943 | Rickie Leonard Seward | Contractor | 218 Travis Dr, Lawrenceville, VA 23868 | 2015-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200319 | Yolanda V Pearson | Contractor | 103 Caney Branch Rd, Emporia, VA 23847-7217 | 2020-09-21 |
| 1205464559 | Gary Louis Cook II | Contractor | 7533 Sewells Point Rd # K322, Norfolk, VA 23513-1757 | 2020-03-31 |
| 1417588666 | Donna Austin | Contractor | 1314 Elk Garden Rd, Lebanon, VA 24266-6604 | 2020-01-27 |
| 1013573864 | Michelle Hurdle | Contractor | 1651 Darren Cir, Portsmouth, VA 23701-3103 | 2019-05-17 |
| 1265901029 | Mercedes V Cueva | Contractor | 612 S Walter Reed Dr, Arlington, VA 22204-2206 | 2018-11-21 |
| 1316459357 | Bernita Danica Boyd | Contractor | 436 Theater Rd, South Hill, VA 23970 | 2017-10-31 |
| 1083161053 | Simone Dreher | Contractor | 202 Charlotte Dr, Newport News, VA 23601-1341 | 2016-09-07 |
| 1962855916 | Jose D Herrera | Contractor | 3158 Cedar Grove Dr, Fairfax, VA 22031-1708 | 2016-07-14 |
| 1548634371 | Shawnta Warren | Contractor | 10907 Taney Dr, Fredericksburg, VA 22407-2561 | 2015-11-17 |
| 1891049110 | Stephen Jobe | Contractor | 658 J Clyde Morris Blvd Ste A, Newport News, VA 23601-1837 | 2012-11-08 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 23868 |
Please comment or provide details below to improve the information on MRS. BERNADETTE TISDALE COOK.
| 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.