MISS KERRY ANN COOK (NPI# 1720344229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720344229 |
| Entity Type | Individual |
| Full Name | MISS KERRY ANN COOK |
| Credential | PA-C |
| Practice Address |
3031 Javier Rd Suite 210 Fairfax VA 22031-4637 |
| Practice Telephone | 7039148000 |
| Practice Fax Number | 7039140064 |
| Mailing Telephone | 7039148000 |
| Mailing Fax Number | 7039140064 |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110003854 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164889002 | Kerry Renee Cook | Nurse Practitioner | 1002 Schneider Dr Ste 104, Malvern, AR 72104-4823 | 2016-01-22 |
| 1144579517 | Kerry A Cook | Physician Assistant | 177 Fort Washington Ave, Suite Mhb-6-435, New York, NY 10032-3733 | 2012-08-31 |
| Street Address |
3031 JAVIER RD SUITE 210 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003814534 | David Benjamin Summer | Ophthalmology | 3031 Javier Rd, Suite 300, Fairfax, VA 22031-4637 | 2005-07-08 |
| 1801174362 | Alison Joy Moore | Physician Assistant | 3031 Javier Rd, Suite 210, Fairfax, VA 22031-4637 | 2011-08-01 |
| 1881918373 | Emily U Frank | Physician Assistant | 3031 Javier Rd, Suite 210, Fairfax, VA 22031-4637 | 2010-03-26 |
| 1518292275 | Eye Physicians and Surgeons Inc | Ophthalmology | 3031 Javier Rd, Ste 300, Fairfax, VA 22031-4637 | 2009-10-13 |
| 1639308315 | Kristina L Chiaparas | Physical Therapist | 3031 Javier Rd, Suite 200, Fairfax, VA 22031-4637 | 2009-07-02 |
| 1558524405 | Erin Mccabe | Optometrist | 3031 Javier Rd, Ste 300, Fairfax, VA 22031-4637 | 2008-07-09 |
| 1639155369 | Lorraine Cappelli | Specialist | 3031 Javier Rd, Suite 100, Fairfax, VA 22031-4637 | 2005-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396366555 | Sheelon Aghili | Physician Assistant | 5801 Hampton Forest Way, Fairfax, VA 22030-7254 | 2020-04-29 |
| 1114327087 | Bach-duong Dinh | Physician Assistant | 8316 Arlington Blvd Ste 401, Fairfax, VA 22031-5216 | 2014-08-28 |
| 1760633283 | Xyz Clinic | Physician Assistant | 17000 Breeze Lane, Fairfax, VA 22033 | 2008-10-02 |
| 1184810574 | Elizabeth Colella Johnson | Physician Assistant | 3022 Williams Dr #300, Fairfax, VA 22031 | 2007-09-19 |
| 1548322159 | Tsion Tewolde | Physician Assistant | 3600 Joseph Siewick, Drivefair Oaks Hospitalist Group, Fairfax, VA 22033 | 2006-12-14 |
| 1841307956 | Danielle M Landzinski | Physician Assistant | 10615 Judicial Dr Ste 401, Fairfax, VA 22030-7501 | 2006-08-24 |
| 1902873565 | Danielle Ali Layton | Physician Assistant | 3028 Javier Rd, Suite 300, Fairfax, VA 22031-4622 | 2006-03-02 |
| 1215437413 | Caitlin Noelle Fortune | Physician Assistant | 3700 Joseph Siewick Dr Ste 308, Fairfax, VA 22033-1739 | 2018-02-15 |
| 1396270310 | Jessica Nicole Ortega | Physician Assistant | 3620 Joseph Siewick Dr Ste 201, Fairfax, VA 22033-1758 | 2017-04-27 |
| 1295116952 | Faith Saunders | Physician Assistant | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2015-06-17 |
| Find all providers in FAIRFAX | ||||
Please comment or provide details below to improve the information on MISS KERRY ANN 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.