Active NPI
Laurel B Cook I, DPM
- Foot Surgery Podiatrist
- Maryville, TN
National Provider Identifier
1073500823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 641
- Practice address
- 603 Smithview Dr
Maryville, TN 37803-6100 - Phone
- (865) 981-4595
- Fax
- (865) 981-4544
- NPI assigned
- Oct 5, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 641 | TN | Primary |
Addresses
Primary practice location
603 Smithview Dr
Maryville, TN 37803-6100
Mailing address
709 E Meadecrest Dr
Knoxville, TN 37923-2441
Phone (865) 981-4595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4127412 | Medicaid | TN |
Other names 1
- Laurel B Griffin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 641 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barrington Holdings PLLC | Foot Surgery | Past | Accepting new patients |
| Little Rock Foot Clinic, PA | Past | Accepting new patients | |
| East Tennessee Foot Clinic PC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Podiatrist
- Maryville, TN
- NPI 1255376083
-
- Primary Podiatric Medicine Podiatrist
- Crossville, TN
- NPI 1225025083
Foot Surgery
-
- Podiatrist
- Little Rock, AR
- NPI 1285746529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286496000000",
"number": "1073500823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 E MEADECREST DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379232441",
"telephone_number": "865-981-4595",
"fax_number": "865-981-4544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 SMITHVIEW DR",
"city": "MARYVILLE",
"state": "TN",
"postal_code": "378036100",
"telephone_number": "865-981-4595",
"fax_number": "865-981-4544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "LAUREL",
"middle_name": "B",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-05",
"last_updated": "2010-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "TN",
"license": "641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4127412",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREL",
"last_name": "GRIFFIN",
"middle_name": "B",
"credential": "DPM",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Maryville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.