Individual provider Active NPI

Emma Therese Cook, APRN

  • Nurse Practitioner
  • Raymore, MO
National Provider Identifier
1104545763
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2022037673 Issued in MO
Practice address
1424 Camden CT
Raymore, MO 64083-8730
Phone
(402) 536-0511
NPI assigned
Aug 25, 2022
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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 2022037673 MO Primary

Addresses

Primary practice location

1424 Camden CT
Raymore, MO 64083-8730

Mailing address

1424 Camden CT
Raymore, MO 64083-8730
Phone (402) 536-0511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230218000078 MO Practitioner - Nurse Practitioner 7719359876 Reassigns benefits to 1 organization
I20230302001608 KS Practitioner - Nurse Practitioner 7719359876 Reassigns benefits to 1 organization
I20250428002405 IN Practitioner - Nurse Practitioner 7719359876 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Group PA CurrentSince Mar 1, 2023 Accepting new patients
American Health Network of Indiana LLC CurrentSince Apr 17, 2025 Accepting new patients
American Health Network of Indiana, LLC Nurse Practitioner CurrentSince Apr 17, 2025 Accepting new patients
American Health Network of Indiana, LLC Past Accepting new patients

Locations

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

7151 Marsh Rd
Ste 150
Indianapolis, IN 46278
Phone (317) 216-2021

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

6860 W 115th St
Overland Park, KS 66211
Phone (913) 217-3521

9229 Ward Pkwy
Kansas City, MO 64114
Phone (816) 444-5511

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1104545763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 CAMDEN CT",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640838730",
            "telephone_number": "402-536-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 CAMDEN CT",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640838730",
            "telephone_number": "402-536-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "EMMA",
        "middle_name": "THERESE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2022037673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymore, MO

Sources for this page

Verify at the official NPI Registry.