MS. WILLETTA AUDREY COOKS (NPI# 1922076439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922076439 |
| Entity Type | Individual |
| Full Name | MS. WILLETTA AUDREY COOKS |
| Credential | BSN, MSN, BC |
| Practice Address |
7777 E Freedom Rd French Camp CA 95231-9694 |
| Mailing Address |
2828 Lonnie Beck Way Stockton CA 95209-4188 |
| Practice Telephone | 2099464305 |
| Mailing Telephone | 2099563169 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2009-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 53-45316-041 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
2243 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | ANCC | 0380913-01 | 01 |
| CA | CNS | 2243 | 01 |
| KS | ARNP | 45316 | 01 |
| Street Address |
7777 E FREEDOM RD |
| City | FRENCH CAMP |
| State | CA |
| Zip Code | 95231-9694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720596851 | Lizette Serrano | Social Worker | 7777 E Freedom Rd, French Camp, CA 95231-9694 | 2018-01-10 |
| 1184024143 | Jose Eric Ortega | Social Worker | 7777 E Freedom Rd, French Camp, CA 95231-9694 | 2014-08-27 |
| 1841619079 | Lynn Mcphedran | Dietitian, Registered | 7777 E Freedom Rd, French Camp, CA 95231-9694 | 2014-04-15 |
| 1578996559 | Angelita Sophia Flores | Social Worker | 7777 E Freedom Rd, French Camp, CA 95231-9694 | 2013-08-14 |
| 1356350904 | Joel Frederick Swetish | Family Medicine | 7777 E Freedom Rd, French Camp, CA 95231-9694 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124264510 | San Joaquin General Hospital Dialysis Clinic | General Acute Care Hospital | 7783 S. Freedom Road, French Camp, CA 95231 | 2009-01-06 |
| 1427229731 | Vhee M Agcaoili | Social Worker | 7777 S. Freedom Road, Stockton, CA 95231 | 2008-03-13 |
| 1851576532 | Nikolas Bjorn Adamsson | Counselor | 10350 South Mckinley Avenue, French Camp, CA 95231 | 2007-12-31 |
| 1558557801 | County of San Joaquin | Clinic/Center | 7783 South Freedom Road, French Camp, CA 95231 | 2007-09-20 |
| 1962602847 | Julie Mai Dang | Pharmacist | 7777 South Freedom Drive, French Camp, CA 95231 | 2007-07-19 |
| 1548478142 | San Joaquin County Behavioral Health Services | Clinic/Center | 6861 Mary Graham Lane, French Camp, CA 95231 | 2007-05-18 |
| 1497968184 | San Joaquin County Behavioral Health Services | Substance Abuse Rehabilitation Facility | 500 W. Hospital Road, French Camp, CA 95231 | 2007-05-08 |
| 1891918793 | Randy Raymond Barretto | Counselor | 500 W. Hospitalm Rd, French Camp ., CA 95231 | 2007-04-10 |
| 1245352392 | Dora Florez | Counselor | 500 W Hospital Road, French Camp, CA 95231 | 2007-04-06 |
| 1538281506 | John Campos | Physical Therapy Assistant | 500 West Hospital Rd., French Camp, CA 95231 | 2007-04-03 |
| Find all providers in zip 95231 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417213273 | The Well Clinic | Clinical Nurse Specialist | 383 Rhode Island St, Suite 201, San Francisco, CA 94103-5177 | 2012-04-05 |
| 1629376322 | Susanne Semler Birman | Clinical Nurse Specialist | 3620 Saint Elizabeth Rd, Glendale, CA 91206-1228 | 2011-03-03 |
| 1033429204 | Mary Ann Nihart | Clinical Nurse Specialist | 146 Hilton Ln, Pacifica, CA 94044-8039 | 2010-10-20 |
| 1770722639 | Lynn Y. Martin | Clinical Nurse Specialist | 61 Avenida De Orinda # 100, Orinda, CA 94563-2327 | 2009-02-16 |
| 1245258227 | Linda Anne Allen | Clinical Nurse Specialist | 86 Long Ct Ste A, Thousand Oaks, CA 91360-7418 | 2006-07-17 |
| 1235787235 | Taryn Alexandra Joyce | Clinical Nurse Specialist | 150 W 7th St, San Pedro, CA 90731-3320 | 2019-09-03 |
| 1336566348 | Scott Veltre | Clinical Nurse Specialist | 5887 Brockton Ave, Suite A, Riverside, CA 92506-1853 | 2014-03-27 |
| 1831439504 | Martha Abbott Creed | Clinical Nurse Specialist | 3801 Miranda Ave, Va Palo Alto, Palo Alto, CA 94304 | 2013-02-18 |
| 1346529823 | Keynan Hobbs | Clinical Nurse Specialist | 8900 Grossmont Blvd, Ste 4, La Mesa, CA 91941-4047 | 2011-08-15 |
| 1487989281 | Dawn Nolan | Clinical Nurse Specialist | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2009-10-12 |
| Find all providers with the same taxonomy | ||||
| City | FRENCH CAMP |
| Zip Code | 95231 |
Please comment or provide details below to improve the information on MS. WILLETTA AUDREY COOKS.
| 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.