Stacy Cameron Cook Jr., CBRPA RPA

Primary specialty

Radiology Practitioner AssistantTaxonomy code 243U00000X

License

5614785-5400 Issued in UT

Practice address

6847 Kerry Valley LN
Cordova, TN 38018-2848

Phone

(435) 224-4906

NPI assigned

Dec 3, 2013

Last updated

Dec 3, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386028800000",
    "number": "1306277280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6847 KERRY VALLEY LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380182848",
            "telephone_number": "435-224-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6847 KERRY VALLEY LN",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380182848",
            "telephone_number": "435-224-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "STACY",
        "middle_name": "CAMERON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CBRPA RPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "UT",
            "license": "5614785-5400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Behavioral Concepts
• Chelsea Conlee
• Conrad Pearson Clinic PC
• Contagious Smiles PC
• Angela K. Cook, DNP
• Sherrie Caldwell Cooke, M.S., M.A., CCC-A
• Jennette Cooper
• Lisa Cooper, M.S. CCC-SLP
• Sarah Corda
• Cordova Dental

• Radiology Practitioner Assistant in Cordova, TN
• Providers in Cordova, TN by specialty
• Radiology Practitioner Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.