Jennifer S Cook, MD

Primary specialty

Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X

License

26000 Issued in IA

Practice address

1215 Pleasant St
Suite 300
Des Moines, IA 50309-1453

Phone

(515) 241-6500

Fax

(515) 241-8911

NPI assigned

Sep 13, 2005

Sex

Female

Sole proprietor

No

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.

• Childrens Health Center

  • Health Service Clinic/Center
  • Dearborn, MI
  • NPI 1447423447
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 17, 2011.

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1083609358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT ST",
            "address_2": "SUITE 300",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091453",
            "telephone_number": "515-241-6500",
            "fax_number": "515-241-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT ST",
            "address_2": "SUITE 300",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091453",
            "telephone_number": "515-241-6500",
            "fax_number": "515-241-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "IA",
            "license": "26000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "175679",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205746605",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083609358",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Continued Blessing Senior Delivery LLC
• Continuum Integrative Mental Health, PLLC
• Control Installations of Iowa, Inc.
• Louise M Convery, D.O.
• Jamie Renee Cook
• Joshua Benjamin Cook, M.D.
• Kristina Elizabethann Cook, MD
• Lindsay Cook, LISW
• Ryan Douglas Cook, MD
• Shane Cook, M.D.

• All providers in Des Moines, IA
• Pediatric Endocrinology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.