Jill Elizabeth Cook, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

2902010556 Issued in MI

Practice address

10767 E Traverse Hwy Ste B
Traverse City, MI 49684-6219

Phone

(231) 947-0351

NPI assigned

Apr 29, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1003662016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 LAKES NORTH DR",
            "city": "INTERLOCHEN",
            "state": "MI",
            "postal_code": "496439134",
            "telephone_number": "231-640-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10767 E TRAVERSE HWY STE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846219",
            "telephone_number": "231-947-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JILL",
        "middle_name": "ELIZABETH",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "2902010556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Connor-Herrera, LMSW
• Kathy Connor
• Clifford Dean Conrad Jr., LPC
• Constance Baab, PHD, LMSW, PLLC
• Allison Cook
• Joseph N Cook, D.O.
• Julie Jordan Cook, OTRL
• Milissa Cook, RBT
• Natalie E Cook, MD
• Ross Thomas Cook, R.PH.

• Dental Hygienist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Dental Hygienist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.