Elaine Malvina Cook, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R063214 Issued in MD

Practice address

8615 Ridgelys Choice Dr
Nottingham, MD 21236-3026

Phone

(410) 766-8009

Fax

(410) 766-8028

NPI assigned

Nov 8, 2005

Last updated

Apr 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Elaine Malvina Huff Former name

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Nurse Practitioner

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Port Recovery Iop Inc.

  • Mental Health Counselor
  • Nottingham, MD
  • NPI 1578026464

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Sowebo Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1962127068
  NPD Authorized official
• Port Recovery Physicians Care LLC

  • Internal Medicine Physician
  • Nottingham, MD
  • NPI 1124470356
  Medicare reassignment
• Creative Medical Designs, LLC

  • Durable Medical Equipment & Medical Supplies
  • Glen Burnie, MD
  • NPI 1225314453
  NPD (past)
• Carolina Medical & Rehabilitation Center, P.C.

  • Neurology Physician
  • Columbus, NC
  • NPI 1891744207
  NPD (past)

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1174504047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 SALEM CHURCH RD",
            "city": "JARRETTSVILLE",
            "state": "MD",
            "postal_code": "210841414",
            "telephone_number": "410-692-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 RIDGELYS CHOICE DR",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363026",
            "telephone_number": "410-766-8009",
            "fax_number": "410-766-8028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 S Arlington Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212232616",
            "country_code": "US",
            "telephone_number": "443-966-4384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "ELAINE",
        "middle_name": "MALVINA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R063214",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R063214",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "HUFF",
            "middle_name": "MALVINA",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Connect Hearing, Inc.
• Kira Connell
• Demetra Conner
• Alexandra Cook, OTR/L
• Edward Cook
• Jazmin Cooke
• Lia Coombs, CRNP
• Miya Capri Cooper
• Aleesha Corrente, HAD& SLP
• Grace Monica Cotelingam

• Nurse Practitioner in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.
• 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.

Verify at the official NPI Registry.