Emily R Cook

Individual provider Active NPI Registered Dietitian · Pearisburg, VA

NPI 1154889111 · NPPES record last updated Mar 8, 2019

Key facts

NPI
1154889111
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
1100867 (VA)
Practice address
227 Farley Cir
Pearisburg, VA 24134-2660
Phone
(540) 599-9378
NPI assigned
Mar 8, 2019
Sex
Female
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

523 Wenonah Ave
Pearisburg, VA 24134-1652
Phone (540) 599-9378

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20190513001530 VA Practitioner - Registered Dietitian Or Nutrition Professional 0244573327 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1100867 VA Yes

Addresses

Primary practice location

227 Farley Cir
Pearisburg, VA 24134-2660

Mailing address

227 Farley Cir
Pearisburg, VA 24134-2660
Phone (540) 599-9378

Other providers in Pearisburg, VA

All providers in Pearisburg, VA · Registered Dietitian in Virginia

Sources for this page

Verify at the official NPI Registry.