Demetrius Princess Cook, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

61539761 Issued in WA

Practice address

9351 Joe Lyon Blvd
Olive Branch, MS 38654-6506

Phone

(901) 314-3938

NPI assigned

Jun 1, 2021

Last updated

Oct 19, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Compassion Mental Health IncGroup PAC ID 4587906755, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compassion Mental Health Inc

  • Multi-Specialty Clinic/Center
  • Bartlett, TN
  • NPI 1124583687

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Alliance Healthcare Services

  • Community/Behavioral Health Agency
  • Memphis, TN
  • NPI 1295898393
  Medicare reassignment NPD
• Alliance Healthcare Services

  dba Alliance Healthcare System Whitney Pharmacy

  • Clinic Pharmacy
  • Memphis, TN
  • NPI 1912312828
  NPD
• Compassion Behavioral Health LLC

  • Multi-Specialty Clinic/Center
  • Bartlett, TN
  • NPI 1568324507

  Psychiatric/Mental Health

  NPD

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1003482993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9351 JOE LYON BLVD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386546506",
            "telephone_number": "901-314-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9351 JOE LYON BLVD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386546506",
            "telephone_number": "901-314-3938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4526 Federal Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982032132",
            "country_code": "US",
            "telephone_number": "425-349-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "DEMETRIUS",
        "middle_name": "PRINCESS",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "61539761",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "29684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greene Berry Colvin IV, MD
• Alisha Gholston Comer, MS,CCC-SLP
• Comprehensive Stafffing Services
• Confident Living LLC
• Julia Conner-Mendez, NP
• Kylee Alexis Cook, APRN, FNP-C
• Kelcey Raye Cooper, PA-C, ATC
• Cornerstone Health & Wellness Clinic of Tennessee
• Cornerstone HME
• Cornerstone Hospice Palliative Care, LLC

• Psychiatric/Mental Health Nurse Practitioner in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.