Tamika Alishia Cooke, AGPCNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN11018391 Issued in FL

Practice address

1012 Mississippi Ave
Clewiston, FL 33440-5511

Phone

(863) 254-7363

NPI assigned

Mar 3, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Florida Department of Health

  • Public Health or Welfare Agency
  • Moore Haven, FL
  • NPI 1215906938
  Medicare reassignment NPD
• Hydratonic Med Spa, LLC

  dba Tamika Cooke

  • Primary Care Clinic/Center
  • Clewiston, FL
  • NPI 1134900798
  NPD Authorized official

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1154078814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334400824",
            "telephone_number": "863-254-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 MISSISSIPPI AVE",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334405511",
            "telephone_number": "863-254-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "TAMIKA",
        "middle_name": "ALISHIA",
        "credential": "AGPCNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-03",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11018391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clewiston Nursing and Rehab Opco LLC (Vivo Healthcare Clewiston)
• Clewiston SNF Operations LLC (Clewiston Center for Rehabilitation and Healing)
• Lisandra Concepcion Aponte
• Susan Conley, FNP
• Cook Chiropractic Clinic
• Angel Crespo, APRN
• Roxana Crespo
• Edward Anthony Cronauer IV, DMD, MDS
• Veronica Cruz Simon
• Yaritza Naire Cuevas Torres, SLPA

• Gerontology Nurse Practitioner in Clewiston, FL
• Providers in Clewiston, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.