Lynn Cook Sr

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

License

23615422 Issued in MO

Practice address

9412 Myrtle Ave Apt 179
Kansas City, MO 64132-3852

Phone

(816) 986-7556

NPI assigned

Feb 27, 2024

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1194581082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9412 MYRTLE AVE APT 179",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641323852",
            "telephone_number": "816-986-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9412 MYRTLE AVE APT 179",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641323852",
            "telephone_number": "816-986-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK SR",
        "first_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "MO",
            "license": "23615422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronisha Leshae Conway, IBCLC
• Matthew T. Conwell, CRNA
• Judith A Conyers, R.N.
• Sandra Louise Conzel, APRN, NNP-BC
• Justin A Coogle, MD
• Alex Emory Cook, DO
• Alexandra Cook
• Andrew Michael Cook, PT, DPT
• Courtney Elizabeth Cook
• Jenna Cook, DO

• Adult Development & Aging Psychologist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Adult Development & Aging Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.