Individual provider Active NPI

Lindsey Hendrix Cook, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bolivar, TN
National Provider Identifier
1245864685
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN0000027012 Issued in TN
Practice address
10710 Old Highway 64
Bolivar, TN 38008-3587
Phone
(731) 658-6113
Fax
(731) 658-1597
NPI assigned
Feb 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN0000027012 TN Primary

Addresses

Primary practice location

10710 Old Highway 64
Bolivar, TN 38008-3587

Mailing address

10710 Old Highway 64
Bolivar, TN 38008-3587
Phone (731) 658-6113

Other practice location 1

259 W Main St
Decaturville, TN 38329-8033
Phone (731) 852-3112

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paula.walton@quincomhc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APN0000027012TNMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1245864685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 OLD HIGHWAY 64",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380083587",
            "telephone_number": "731-658-6113",
            "fax_number": "731-658-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 OLD HIGHWAY 64",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380083587",
            "telephone_number": "731-658-6113",
            "fax_number": "731-658-1597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "259 W Main St",
            "address_purpose": "LOCATION",
            "city": "Decaturville",
            "state": "TN",
            "postal_code": "383298033",
            "country_code": "US",
            "telephone_number": "731-852-3112",
            "fax_number": "731-852-3222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "LINDSEY",
        "middle_name": "HENDRIX",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "APN0000027012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paula.walton@quincomhc.org",
            "affiliation": "N",
            "address_1": "10710 Old Highway 64",
            "city": "Bolivar",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380083587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bolivar, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.