Active NPI
Yolanda Cook
- Personal Care Attendant
- Lake Charles, LA
National Provider Identifier
1083813604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- PCA 6866
- Practice address
- 3200 2ND Ave Ste B
Lake Charles, LA 70601-8922 - Phone
- (337) 480-9757
- Fax
- (337) 562-1374
- NPI assigned
- Jul 13, 2007
- 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | PCA 6866 | LA | Primary |
Addresses
Primary practice location
3200 2ND Ave Ste B
Lake Charles, LA 70601-8922
Mailing address
3200 2ND Ave Ste B
Lake Charles, LA 70601-8922
Phone (337) 480-9757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1004791 | Medicaid | LA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCA 6866 | LA | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1083813604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 2ND AVE STE B",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018922",
"telephone_number": "337-480-9757",
"fax_number": "337-562-1374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 2ND AVE STE B",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018922",
"telephone_number": "337-480-9757",
"fax_number": "337-562-1374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "YOLANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-13",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "LA",
"license": "PCA 6866",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1004791",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.