Individual provider Active NPI

Tamara M Cooks, M.D.

  • Pediatrics Physician
  • Pasco, WA
National Provider Identifier
1194112946
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD61197743 Issued in WA
Practice address
515 W Court St
Pasco, WA 99301-3737
Phone
(509) 547-2204
Fax
(509) 542-8836
NPI assigned
Apr 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD61197743 WA Primary
Pediatrics Physician 208000000X 2018013806 MO

Addresses

Primary practice location

515 W Court St
Pasco, WA 99301-3737

Mailing address

PO Box 1452
Pasco, WA 99301-1223
Phone (509) 543-1920

Other names 1

  • Tammi Cooks Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211015000728 WA Practitioner - Pediatric Medicine 0143522086 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2018013806MOMDPediatrics Physician
MD61197743WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Cities Community Health Pediatrics Current Accepting new patients
Prosser Public Hospital District of Benton County Current Accepting new patients
Tri-Cities Community Health CurrentSince Sep 1, 2023 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Sep 7, 2021 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Sep 7, 2021 Accepting new patients
Missouri Baptist Hospital of Sullivan Past Accepting new patients
Tri Cities Community Health Past Accepting new patients
Missouri Baptist Hospital of Sullivan Past Accepting new patients

Locations

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

701 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

721 S Auburn St
Kennewick, WA 99336
Phone (509) 586-1157

3180 W Clearwater Ave
Ste A
Kennewick, WA 99336

515 W Court St
Pasco, WA 99301
Phone (509) 543-8520

200 Prosser Health Dr
Prosser, WA 99350
Phone (509) 786-2222

336 Chardonnay Ave
#A
Prosser, WA 99350
Phone (509) 786-1576

723 Memorial St
Prosser, WA 99350
Phone (509) 786-2222

829 Goethals Dr
Richland, WA 99352
Phone (509) 713-7331

915 Goethals Dr
Richland, WA 99352
Phone (509) 946-3700

Interoperability endpoints

  • Direct secure messaging: tamara.cooks.1@21034.direct.athenahealth.com
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1194112946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1452",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993011223",
            "telephone_number": "509-543-1920",
            "fax_number": "509-542-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W COURT ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993013737",
            "telephone_number": "509-547-2204",
            "fax_number": "509-542-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKS",
        "first_name": "TAMARA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD61197743",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2018013806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMI",
            "last_name": "COOKS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.