Individual provider Active NPI

Heather Irene Cook, D.O.

  • Surgery Physician
  • Walsenburg, CO
National Provider Identifier
1255547691
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DR.0050479 Issued in CO
Practice address
23450 US Highway 160
Walsenburg, CO 81089-8100
Phone
(719) 738-4588
NPI assigned
May 15, 2007
Last updated
Feb 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X DR.0050479 CO Primary

Addresses

Primary practice location

23450 US Highway 160
Walsenburg, CO 81089-8100

Mailing address

23500 US Highway 160
Walsenburg, CO 81089-9524
Phone (719) 738-5100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address heather.cook@sprhc.eclinicaldirectplus.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20111013000372 CO Practitioner - General Surgery 2860564515 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0050479COMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinidad Area Health Association CurrentSince Aug 14, 2011 Accepting new patients
Trinidad Area Health Association Surgery CurrentSince Aug 14, 2011 Accepting new patients
Huerfano County Hospital District Current Accepting new patients
Alpena Surgical Associates, P.L.L.C. Surgery Past Accepting new patients

Locations

400 Benedicta Ave
Ste A
Trinidad, CO 81082
Phone (719) 846-2206

23400 US Highway 160
Walsenburg, CO 81089
Phone (719) 738-4588

23500 US Highway 160
Walsenburg, CO 81089
Phone (719) 738-5100

23500 US Highway 160
Ste 105
Walsenburg, CO 81089

Interoperability endpoints

  • Direct secure messaging: heather.cook.do@direct.sprhc.org
  • Direct secure messaging: heather.cook@sprhc.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1255547691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23500 US HIGHWAY 160",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810899524",
            "telephone_number": "719-738-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23450 US HIGHWAY 160",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810898100",
            "telephone_number": "719-738-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "HEATHER",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "DR.0050479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather.cook@sprhc.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Heather Cook heather.cook@sprhc.eclinicaldirectplus.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "23450 US Highway 160",
            "city": "Walsenburg",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810898100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walsenburg, CO

Sources for this page

Verify at the official NPI Registry.