Individual provider Active NPI

Taylor Jean Cooke, DNP, FNP-C

  • Family Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1235972951
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11036295 Issued in FL
Practice address
1110 Airport Blvd, Ste B
Pensacola, FL 32504-8649
Phone
(850) 438-1136
Fax
(850) 438-1148
NPI assigned
Jun 18, 2024
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 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 F06240298 LA
Family Nurse Practitioner 363LF0000X APRN11036295 FL Primary

Addresses

Primary practice location

1110 Airport Blvd, Ste B
Pensacola, FL 32504-8649

Mailing address

1110 Airport Blvd, Ste B
Pensacola, FL 32504-8649
Phone (850) 438-1136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20260102003626 FL Practitioner - Nurse Practitioner 9830685429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emerald Coast Center for Neurological DisordersGroup PAC ID 2062417215, 11 clinicians

Practice addresses (Care Compare)

1110 Airport Blvd
Suite B
Pensacola, FL 32504-8608
Phone (850) 438-1136

1110 Airport Blvd
Suite B
Pensacola, FL 32504-8649

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11036295FLMDFamily Nurse Practitioner
F06240298LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Coast Center for Neurological Disorders CurrentSince Nov 11, 2025 Accepting new patients

Locations

1110 Airport Blvd
Ste B
Pensacola, FL 32504
Phone (850) 438-1136

Interoperability endpoints

  • Direct secure messaging: t.cooke@eccnd.directbygreenway.com

Organizations & group practices 1

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 2

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": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1235972951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 AIRPORT BLVD, STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048649",
            "telephone_number": "850-438-1136",
            "fax_number": "850-438-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 AIRPORT BLVD, STE B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048649",
            "telephone_number": "850-438-1136",
            "fax_number": "850-438-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "TAYLOR",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "F06240298",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11036295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.