Individual provider Active NPI

Ladonna Ward Cook, FNP-C

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1265407605
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201794 Issued in NC
Practice address
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone
(336) 718-7224
Fax
(336) 718-7598
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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 201794 NC
Nurse Practitioner 363L00000X 201794 NC Primary

Addresses

Primary practice location

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 718-7224

Other practice location 1

1471 Jag Branch Blvd Ste 105
Kernersville, NC 27284
Phone (336) 277-6430

Other practice location 2

1730 Kernersville Medical Pkwy Ste 203
Kernersville, NC 27284-7198
Phone (336) 564-4445

Other identifiers 1

IdentifierTypeStateIssuer
7003722MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lcook40838@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040511000384 NC Practitioner - Nurse Practitioner 3375532773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians

Practice addresses (Care Compare)

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-5763

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201794NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. CurrentSince Oct 5, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Novant Medical Group, Inc. CurrentSince Dec 12, 2018 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Oct 5, 2023 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Living the Breamedical - Salisbury, PLLC CurrentSince Dec 12, 2021 Accepting new patients
Forsyth Memorial Hospital, Inc Past Accepting new patients
Main Street Family Practice PC PastSince Oct 2, 2000 Accepting new patients

Locations

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

2290 Remount Rd
Gastonia, NC 28054
Phone (704) 316-4979

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

1471 Jag Branch Blvd
Unit 105
Kernersville, NC 27284
Phone (336) 277-4075

721 Grove St
Salisbury, NC 28144
Phone (704) 216-1263

2025 Frontis Plaza Blvd
Ste 120
Winston Salem, NC 27103
Phone (336) 277-2200

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Interoperability endpoints

  • Direct secure messaging: lcook40838@direct.novanthealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1265407605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-718-7224",
            "fax_number": "336-718-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033013",
            "telephone_number": "336-718-7224",
            "fax_number": "336-718-7598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1471 Jag Branch Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "27284",
            "country_code": "US",
            "telephone_number": "336-277-6430",
            "fax_number": "336-277-6448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1730 Kernersville Medical Pkwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272847198",
            "country_code": "US",
            "telephone_number": "336-564-4445",
            "fax_number": "336-992-3240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "LADONNA",
        "middle_name": "WARD",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201794",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "201794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003722",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lcook40838@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "911 W Henderson St",
            "address_2": "Suite 120",
            "city": "Salisbury",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281442736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.