Individual provider Active NPI

Latoya Shantae Cook, FNP

  • Family Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1235744525
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28319 Issued in TN
Practice address
1900 Kirby Pkwy Ste 203
Germantown, TN 38138-3649
Phone
(901) 676-6218
Fax
(901) 425-9639
NPI assigned
Sep 13, 2020
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28319 TN Primary
General Practice Registered Nurse 163WG0000X 203618 TN

Addresses

Primary practice location

1900 Kirby Pkwy Ste 203
Germantown, TN 38138-3649

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other practice location 1

3960 New Covington Pike
Memphis, TN 38128-2504
Phone (901) 516-5741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210507000182 TN Practitioner - Nurse Practitioner 7214346006 Reassigns benefits to 6 organizations
I20240625001828 MS Practitioner - Nurse Practitioner 7214346006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Inpatient Physicians LLCGroup PAC ID 1254241235, 123 clinicians

Practice addresses (Care Compare)

3960 New Covington Pike
Memphis, TN 38128-2504
Phone (901) 516-5741

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
203618TNMDGeneral Practice Registered Nurse
28319TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist University Emergency Physicians PLLC CurrentSince Jun 1, 2024 Accepting new patients
Germantown Emergency Physicians, PLLC CurrentSince Jun 1, 2024 Accepting new patients
Methodist South Emergency Physicians, PLLC CurrentSince Jun 1, 2024 Accepting new patients
Methodist Inpatient Physicians LLC CurrentSince May 9, 2022 Accepting new patients
North Memphis Medical Clinic CurrentSince Feb 3, 2021 Accepting new patients
Olive Branch Emergency Physicians LLC CurrentSince Jun 1, 2024 Accepting new patients
Methodist North Emergency Physicians, PLLC CurrentSince Jun 1, 2024 Accepting new patients
Methodist Healthcare Primary Care Associates Past Accepting new patients

Locations

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

3909 Covington Pike
Memphis, TN 38135
Phone (502) 596-7021

3950 New Covington Pike
Ste 130
Memphis, TN 38128
Phone (901) 388-0404

3960 New Covington Pike
Memphis, TN 38128
Phone (901) 516-5200

7691 Poplar Ave
Memphis, TN 38138
Phone (901) 516-1290

Interoperability endpoints

  • Direct secure messaging: lcook43034@mlh.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1599955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1235744525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 KIRBY PKWY STE 203",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383649",
            "telephone_number": "901-676-6218",
            "fax_number": "901-425-9639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3960 New Covington Pike",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381282504",
            "country_code": "US",
            "telephone_number": "901-516-5741",
            "fax_number": "901-516-5986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "LATOYA",
        "middle_name": "SHANTAE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-13",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "28319",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TN",
            "license": "203618",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.