Greta Rose Cook, RN, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

201402427RN Issued in OR

Practice address

19820 Village Office CT
Bend, OR 97702-2947

Phone

(907) 723-7589

NPI assigned

Nov 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Greta Rose Thibodeau Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1093472441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19820 VILLAGE OFFICE CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19820 VILLAGE OFFICE CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022947",
            "telephone_number": "907-723-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "GRETA",
        "middle_name": "ROSE",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "OR",
            "license": "201402427RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETA",
            "last_name": "THIBODEAU",
            "middle_name": "ROSE",
            "credential": "RN, IBCLC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth M Conway, LPC
• Emma Pearl Conway
• George A Conway, MD, MPH
• Patrick W Conway, QMHP
• Alexandra Coogan, LMFT
• Justin Cook, DC
• Lexie Cook
• Linda Cook, PTA
• Matthew S Cook, PA-C
• Milo Cook

• All providers in Bend, OR
• Lactation Consultant (Registered Nurse) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.