Cooke'S Continence Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

3302 Issued in SC

Legal business name

COOKE'S CONTINENCE CENTER

Practice address

330-C Pelham Road
Suite B-102
Greenville, SC 29615-2961

Phone

(864) 412-8424

Fax

(864) 412-8012

NPI assigned

Feb 18, 2017

Organization subpart

No

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

Authorized official

Name

Shannon Marie Cooke, WHNP-BCNPI 1619168473

Title

Women'S Health Nurse Practitioner

Phone

(864) 412-8424

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon M Cooke, WHNP-BC

  • Women's Health Nurse Practitioner
  • Greenville, SC
  • NPI 1619168473
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1487376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1023557485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330-C PELHAM ROAD",
            "address_2": "SUITE B-102",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153534",
            "telephone_number": "864-412-8424",
            "fax_number": "864-412-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330-C PELHAM ROAD",
            "address_2": "SUITE B-102",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296152961",
            "telephone_number": "864-412-8424",
            "fax_number": "864-412-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOKE'S CONTINENCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-18",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "WOMEN'S HEALTH NURSE PRACTITIONER",
        "authorized_official_telephone_number": "864-412-8424",
        "authorized_official_credential": "WHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "SC",
            "license": "3302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC STATE LICENSE",
            "identifier": "3302",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1619168473",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Elizabeth Cook, MA
• Pamela Wilson Cook, CRNA
• Rebecca Pendergrass Cook, M.D.
• Lindsay Cooke, BCBA
• Shannon M Cooke, WHNP-BC
• Crystal J. Cooley, CRNA
• Lee Pursley Cooley, CRNA
• Kathryn C Coon, RN
• Madelyn Coon
• Sydney Coon, LPCA

• Clinic/Center in Greenville, SC
• Providers in Greenville, SC by specialty
• Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.