Active NPI
Shaunnan Allen Cook
- Nutrition Education Nutritionist
- Huntsville, AL
National Provider Identifier
1144036310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 954
- Practice address
- 103 Misty Morn LN
Huntsville, AL 35811-8688 - Phone
- (256) 604-8613
- NPI assigned
- Dec 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 954 | AL | |
| Nutrition Education Nutritionist | 133NN1002X | 954 | AL | Primary |
Addresses
Primary practice location
103 Misty Morn LN
Huntsville, AL 35811-8688
Mailing address
103 Misty Morn LN
Huntsville, AL 35811-8688
Phone (256) 604-8613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251202003685 | AL | Practitioner - Registered Dietitian Or Nutrition Professional | 7911490511 |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
317 6TH Ave
Suite 400
Des Moines, IA 50309-4037
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 954 | AL | MD | Nutrition Education Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Openloop Healthcare Partners PC | Current | Accepting new patients |
Locations
2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902
317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097
Organizations & group practices 1
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.
-
- General Practice Physician
- Des Moines, IA
- NPI 1245820661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1144036310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 MISTY MORN LN",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358118688",
"telephone_number": "256-604-8613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MISTY MORN LN",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358118688",
"telephone_number": "256-604-8613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "SHAUNNAN",
"middle_name": "ALLEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-03",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "AL",
"license": "954",
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "AL",
"license": "954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.