Tessy Cook
Individual provider Active NPI Case Manager/Care Coordinator · Lakeport, CA
NPI 1285352138 · NPPES record last updated Aug 17, 2022
Key facts
- NPI
- 1285352138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 160 S Main St
Lakeport, CA 95453-5017 - Phone
- (707) 467-2010
- NPI assigned
- Aug 17, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
160 S Main St
Lakeport, CA 95453-5017
Mailing address
PO Box 2077
Ukiah, CA 95482-2077
Phone (707) 467-2010
Other providers in Lakeport, CA
- Christopher O. Torres, DDS, P.C.
- Bradley Trent Clair
- Clear Lake Physical Therapy Inc
- Brittany Renee Cole
- Ebony Denise Coleman
- Tara Cossey
- County of Lake
- County of Lake
- Carol Mills Craig
- Stacey Cranfill
All providers in Lakeport, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.