Active NPI
Mable Cooke
- Case Manager/Care Coordinator
- Plantation, FL
National Provider Identifier
1114192887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- C200545378670
- Practice address
- 545 SW 60TH Ave
Plantation, FL 33317-3947 - Phone
- (954) 581-8671
- NPI assigned
- Apr 24, 2008
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | C200545378670 | FL | Primary |
Addresses
Primary practice location
545 SW 60TH Ave
Plantation, FL 33317-3947
Mailing address
545 SW 60TH Ave
Plantation, FL 33317-3947
Phone (954) 581-8671
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300063000 | Medicaid | FL |
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 |
|---|---|---|---|
| C200545378670 | FL | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1114192887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 SW 60TH AVE",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333173947",
"telephone_number": "954-581-8671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 SW 60TH AVE",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333173947",
"telephone_number": "954-581-8671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOKE",
"first_name": "MABLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-24",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": "C200545378670",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300063000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.