Active NPI
/Tiwanna Tina Cook, LPN
- Licensed Practical Nurse
- Milwaukee, WI
National Provider Identifier
1316173321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 304277
- Practice address
- 6918 N Lincolnshire Cir
Milwaukee, WI 53223-6341 - Phone
- (414) 760-9122
- NPI assigned
- Jun 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 304277 | WI | Primary |
Addresses
Primary practice location
6918 N Lincolnshire Cir
Milwaukee, WI 53223-6341
Mailing address
6918 N Lincolnshire Cir
Milwaukee, WI 53223-6341
Phone (414) 760-9122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38317400 | Other | WI | PROVIDER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304277 | WI | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488499200000",
"number": "1316173321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6918 N LINCOLNSHIRE CIR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532236341",
"telephone_number": "414-760-9122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6918 N LINCOLNSHIRE CIR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532236341",
"telephone_number": "414-760-9122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "/TIWANNA",
"middle_name": "TINA",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-04",
"last_updated": "2017-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WI",
"license": "304277",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER",
"identifier": "38317400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.