Individual provider Active NPI

Jill Cheri Holland Cook

  • Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1104401256
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP142646 Issued in TX
Practice address
6102 82ND St Ste 13B
Lubbock, TX 79424-0840
Phone
(806) 283-5844
NPI assigned
Mar 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP142646 TX Primary

Addresses

Primary practice location

6102 82ND St Ste 13B
Lubbock, TX 79424-0840

Mailing address

PO Box 64154
Lubbock, TX 79464-4154
Phone (806) 283-5844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210504000485 TX Practitioner - Nurse Practitioner 2961811963 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4007 98TH St
Lubbock, TX 79423-3848
Phone (806) 503-4620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Axiom Health and Wellness, LLC Nurse Practitioner CurrentSince Jul 19, 2025 Accepting new patients
Lalavie LLC Nurse Practitioner CurrentSince May 20, 2024 Accepting new patients

Locations

4007 98th St
Lubbock, TX 79423
Phone (806) 503-4620

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1104401256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64154",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794644154",
            "telephone_number": "806-283-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 82ND ST STE 13B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794240840",
            "telephone_number": "806-283-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND COOK",
        "first_name": "JILL",
        "middle_name": "CHERI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP142646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.