Andrea Danielle Cook

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Practice address

HC 64 Box 4683
Marble Hill, MO 63764-9408

Phone

(573) 238-1300

Fax

(573) 238-1302

NPI assigned

Jan 29, 2021

Last updated

Jan 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Annie's House, Inc.

  dba Annie's House

  • Assisted Living Facility
  • Marble Hill, MO
  • NPI 1841916764
  NPD Authorized official

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1063003242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 64 BOX 4683",
            "city": "MARBLE HILL",
            "state": "MO",
            "postal_code": "637649408",
            "telephone_number": "573-238-1300",
            "fax_number": "573-238-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 64 BOX 4683",
            "city": "MARBLE HILL",
            "state": "MO",
            "postal_code": "637649408",
            "telephone_number": "573-238-1300",
            "fax_number": "573-238-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "ANDREA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Leigh Beussink, DDS
• Abby Rose Bohnsack
• Bollinger County Health Center
• Ronald R Brand, LPC
• Lauren Elise Buchtmann, LPC
• Courtney L Beussink DDS LLC (First STreet Smiles)
• Joesph D Cravens, RDH
• Cross Trails Medical Center
• Cross Trails Medical Center
• Crosstree Healthcare the Ranch,LLC (The Ranch Residential Care Facility)

• Mental Illness Community Based Residential Treatment Facility in Marble Hill, MO
• Providers in Marble Hill, MO by specialty
• Mental Illness Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.