Organization Active NPI

Mary Elaine Cook

  • Nursing Care Agency
  • Sierra Vista, AZ
National Provider Identifier
1003142639
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
RN9218626 Issued in FL
Legal business name
MARY ELAINE COOK
Practice address
2145 Santa Catalina Dr
Sierra Vista, AZ 85635-3321
Phone
(520) 458-1736
NPI assigned
Nov 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Jackson Weaver
Title
Recurtor
Phone
(480) 345-6668

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X RN138025 AZ
Nursing Care Agency 251J00000X RN9218626 FL Primary

Addresses

Primary practice location

2145 Santa Catalina Dr
Sierra Vista, AZ 85635-3321

Mailing address

2145 Santa Catalina Dr
Sierra Vista, AZ 85635-3321
Phone (520) 458-1736

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1003142639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 SANTA CATALINA DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856353321",
            "telephone_number": "520-458-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 SANTA CATALINA DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856353321",
            "telephone_number": "520-458-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ELAINE COOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "RECURTOR",
        "authorized_official_telephone_number": "480-345-6668",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "AZ",
            "license": "RN138025",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "RN9218626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.