Active NPI
Katelyn Joan Cook
- Health & Wellness Coach
- Elkton, MD
National Provider Identifier
1295456804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 401 Bow St
Elkton, MD 21921-5515 - Phone
- (443) 245-3871
- Fax
- (410) 996-5179
- NPI assigned
- Sep 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Primary |
Addresses
Primary practice location
401 Bow St
Elkton, MD 21921-5515
Mailing address
401 Bow St
Elkton, MD 21921-5515
Phone (443) 245-3871
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | katelyn.cook@maryland.gov | Direct | Cecil County Health Department |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1295456804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 BOW ST",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215515",
"telephone_number": "443-245-3871",
"fax_number": "410-996-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BOW ST",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215515",
"telephone_number": "443-245-3871",
"fax_number": "410-996-5179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "KATELYN",
"middle_name": "JOAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-12",
"last_updated": "2022-09-12",
"certification_date": "2022-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "katelyn.cook@maryland.gov",
"affiliation": "Y",
"endpointDescription": "Business Email",
"affiliationName": "Cecil County Health Department",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "business email",
"address_1": "401 Bow St",
"city": "Elkton",
"state": "MD",
"country_code": "US",
"postal_code": "219215501",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.