Ivy Mitchell Cooks, B.S., NA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

800 Boulder Springs Dr
#B2
Richmond, VA 23225-5535

Phone

(804) 617-1762

Fax

(804) 447-1449

NPI assigned

Jan 7, 2009

Last updated

Jan 7, 2009By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1093952491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BOULDER SPRINGS DR",
            "address_2": "#B2",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232255535",
            "telephone_number": "804-617-1762",
            "fax_number": "804-447-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BOULDER SPRINGS DR",
            "address_2": "#B2",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232255535",
            "telephone_number": "804-617-1762",
            "fax_number": "804-447-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKS",
        "first_name": "IVY",
        "middle_name": "MITCHELL",
        "name_prefix": "Miss",
        "credential": "B.S., NA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie L Cook, M.D.
• Tiffany Cook, LCSW
• Trarell Cook
• Caroline Cooke
• Richard Henry Cooke, MD
• Kelsey Marie Cookson, MD
• Crystal C Coombes
• Alice A Coombs, M.D.
• Kristin Coop
• Cooper Sons LLC (Agape Medical Supply)

• Nurse's Aide in Richmond, VA
• Providers in Richmond, VA by specialty
• Nurse's Aide in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.