NPIMap

Individual provider Active NPI

Kimberly E Cook, C.R.N.P.

  • Family Nurse Practitioner
  • Solomons, MD
National Provider Identifier
1124051099
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R134606 Issued in MD
Practice address
14090 HG Trueman Rd Ste 2100
Solomons, MD 20688-3151
Phone
(410) 394-3712
Fax
(410) 394-3714
NPI assigned
Jul 7, 2006
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R134606 MD Primary

Addresses

Primary practice location

14090 HG Trueman Rd Ste 2100
Solomons, MD 20688-3151

Mailing address

100 Hospital Rd
Prince Frederick, MD 20678-4017
Phone (410) 414-4791

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberly.cook.p1@direct.calverthealth.nextgenshare.com Health Information Exchange (HIE) CalvertHealth Medical Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050511000336 MD Practitioner - Nurse Practitioner 4981644747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calverthealth Medical Group, LLCGroup PAC ID 2163562695, 50 clinicians

Practice addresses (Care Compare)

14090 HG Trueman Rd
Solomons, MD 20688-3151

8924 Chesapeake Ave
North Beach, MD 20714-4050
Phone (410) 257-7279

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.48 of 100Reported as group
Quality
74.54
Promoting interoperability
99
Improvement activities
40
Cost
81.24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calverthealth Medical Group, LLC Family CurrentSince Apr 10, 2017 Accepting new patients
Calverthealth Medical Group, LLC Current Accepting new patients
Calverthealth Medical Group, LLC CurrentSince Apr 10, 2017 Accepting new patients
Khosrow Davachi MD PC Past Accepting new patients
Youngsik Moon, M.D., P.a. Past Accepting new patients

Locations

8924 Chesapeake Ave
North Beach, MD 20714
Phone (410) 257-7279

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

14090 Hg Trueman Rd
Ste 2100
Solomons, MD 20688
Phone (410) 394-2700

14090 Hg Trueman Rd
Ste 2600
Solomons, MD 20688
Phone (410) 394-3712

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: kimberly.cook.p1@direct.calverthealth.nextgenshare.com
  • Direct secure messaging: kimberly.cook@directcalverthospital.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1124051099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784017",
            "telephone_number": "410-414-4791",
            "fax_number": "410-535-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14090 HG TRUEMAN RD STE 2100",
            "city": "SOLOMONS",
            "state": "MD",
            "postal_code": "206883151",
            "telephone_number": "410-394-3712",
            "fax_number": "410-394-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "KIMBERLY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R134606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.cook.p1@direct.calverthealth.nextgenshare.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address to send CCDAs",
            "affiliationName": "CalvertHealth Medical Group, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDAs",
            "address_1": "14090 Hg Trueman Rd Ste 2100",
            "city": "Solomons",
            "state": "MD",
            "country_code": "US",
            "postal_code": "206883151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Solomons, MD

Sources for this page

Verify at the official NPI Registry.