Individual provider Active NPI

Michelle Y. Whitehurst-Cook, M.D.

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1295816825
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101032391 Issued in VA
Practice address
1250 E Marshall Street
Family Medicine
Richmond, VA 23298-0216
Phone
(804) 828-5883
Fax
(804) 828-5399
NPI assigned
Oct 18, 2006
Last updated
Mar 12, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101032391 VA Primary

Addresses

Primary practice location

1250 E Marshall Street
Family Medicine
Richmond, VA 23298-0216

Mailing address

PO Box 91734
Richmond, VA 23291-1734
Phone (804) 358-6100

Other identifiers 1

IdentifierTypeStateIssuer
005611261 541581185MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100104000282 VA Practitioner - Family Practice 8123169844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

719 N 25TH St
Richmond, VA 23223-6539
Phone (804) 780-0840

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101032391VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vernon J Harris East End Community Health Center Current Accepting new patients
Vernon J Harris East End Community Health Center CurrentSince Jun 1, 2024 Accepting new patients
Vernon J Harris East End Community Health Center CurrentSince Jun 1, 2024 Accepting new patients
Vernon J Harris East End Community Health Center Past Accepting new patients

Locations

2025 E Main St
Ste 105
Richmond, VA 23223
Phone (804) 253-1968

2809 North Ave
Richmond, VA 23222
Phone (804) 321-2403

2809 North Ave
Ste 206
Richmond, VA 23222
Phone (804) 525-1818

719 N 25th St
Richmond, VA 23223
Phone (804) 253-1969

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJBDAA

Organizations & group practices 4

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1295816825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91734",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232911734",
            "telephone_number": "804-358-6100",
            "fax_number": "804-342-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E MARSHALL STREET",
            "address_2": "FAMILY MEDICINE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232980216",
            "telephone_number": "804-828-5883",
            "fax_number": "804-828-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHURST-COOK",
        "first_name": "MICHELLE",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101032391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005611261 541581185",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.