INGRID GUAY COOK (NPI# 1821301912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821301912 |
| Entity Type | Individual |
| Full Name | INGRID GUAY COOK |
| Credential | NP |
| Practice Address |
1006 Highland Ave Shreveport LA 71101-4103 |
| Practice Telephone | 3182226226 |
| Practice Fax Number | 3185247252 |
| Mailing Telephone | 3182226226 |
| Mailing Fax Number | 3185247252 |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP06191 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APO6191 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | CDS | 042628APN | 01 |
| LA | LOUISIANA PA# | 060109 | 01 |
| LA | 2120107 | 05 | |
| TX | RX AUTHORITY NUMBER | 12290 | 01 |
| Street Address |
1006 HIGHLAND AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417979204 | Brentwood Acquisition-shreveport Inc. | Psychiatry & Neurology | 1006 Highland Ave, Shreveport, LA 71101 | 2006-07-24 |
| 1659981975 | Lucretia A Mcfarland | Counselor | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2020-08-01 |
| 1104471382 | Juanita Carolyn Roberts | Nurse Practitioner | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2019-08-05 |
| 1770138000 | Elizabeth French Bright | Psychiatry & Neurology | 1006 Highland Ave, Brentwood Hospital, Shreveport, LA 71101 | 2019-08-04 |
| 1104393644 | Nicole Lahr | Counselor | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2018-11-01 |
| 1528421302 | Veda Cawthorn | Social Worker | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2016-03-30 |
| 1124406400 | Kimberly Forcinel | Registered Nurse | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2015-05-07 |
| 1558627182 | Amit D. Desai | Psychiatry & Neurology | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2012-04-09 |
| 1700166717 | Alexandra Jones Stewart | Nurse Practitioner | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2011-08-22 |
| 1164725701 | Brentwood Acquisition-shreveport Inc. | Psychiatric Hospital | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2010-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942660287 | Larry David Allen Jr. | Nurse Practitioner | 4416 Orchid St, Shreveport, LA 71105-3130 | 2016-02-29 |
| 1912389503 | Lisa Jones Baker | Nurse Practitioner | 1002 Highland Ave Fl 2, Shreveport, LA 71101-4143 | 2015-06-19 |
| 1407264989 | Jaschandria Bailey | Nurse Practitioner | Brentwood Hospital, 1006 Highland Avenue, Shreveport, LA 71101-4202 | 2014-07-28 |
| 1851493829 | Susan M Derivas | Nurse Practitioner | 1651 E 70th St # 382, Shreveport, LA 71105-5115 | 2006-09-01 |
| 1518574441 | Jadebrey Vyshette Kennon | Nurse Practitioner | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-24 |
| 1740801752 | Mitsi Tonette Long | Nurse Practitioner | 3341 Youree Dr Ste 205, Shreveport, LA 71105-2149 | 2020-04-30 |
| 1104471382 | Juanita Carolyn Roberts | Nurse Practitioner | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2019-08-05 |
| 1841792249 | James G Jones IIi | Nurse Practitioner | 1002 Highland Ave, Shreveport, LA 71101-4143 | 2018-03-02 |
| 1225539984 | Marnitta Demming | Nurse Practitioner | 7591 Fern Ave Ste 1705, Shreveport, LA 71105-5749 | 2018-02-27 |
| 1912417262 | Janey Gaston | Nurse Practitioner | 8731 Park Plaza Dr, Shreveport, LA 71105-5682 | 2017-10-01 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on INGRID GUAY 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.