Kristina M Cook, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704299215 Issued in MI

Practice address

4117 Swede Ave
Midland, MI 48642-6249

Phone

(707) 733-6455

NPI assigned

Feb 16, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1164015665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2372",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486412372",
            "telephone_number": "707-733-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 SWEDE AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486426249",
            "telephone_number": "707-733-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "KRISTINA",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704299215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb James Conner
• Kari Conner
• Kaylee Conroy, LMSW
• Convergence Psychological PLC
• Jaclyn Cook, PT, DPT
• Madalyn Cook
• Carol Lynn Cooper, M.D., PH.D.,
• Christine Anne Cooper
• Siofra Cooper
• Emerson William Corbat Jr., B.S.

• Registered Nurse in Midland, MI
• Providers in Midland, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.