Active NPI
Tony D Cook, APRN
- Nurse Practitioner
- Fayette, MO
National Provider Identifier
1316999741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN87924
- Practice address
- 308 S Church St
Fayette, MO 65248-1243 - Phone
- (660) 248-2217
- Fax
- (816) 248-3450
- NPI assigned
- May 16, 2006
- Last updated
- Dec 26, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN87924 | MO | Primary |
Addresses
Primary practice location
308 S Church St
Fayette, MO 65248-1243
Mailing address
PO Box 7687
Columbia, MO 65205-7687
Phone (573) 882-2259
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292101 | Other | MO | UNITED HEALTCARE |
| 127158 | Other | MO | BLUE CHOICE |
| 292101 | Other | MO | HEALTHLINK |
| 127158 | Other | MO | BLUE SHIELD |
| 4286845601 | Other | MO | KANSAS MEDICAID |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN87924 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curators of the University of Missouri | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba University Physicians
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1477587152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198627200000",
"number": "1316999741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7687",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652057687",
"telephone_number": "573-882-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 S CHURCH ST",
"city": "FAYETTE",
"state": "MO",
"postal_code": "652481243",
"telephone_number": "660-248-2217",
"fax_number": "816-248-3450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "TONY",
"middle_name": "D",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2007-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "RN87924",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTCARE",
"identifier": "292101",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "127158",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "292101",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "127158",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KANSAS MEDICAID",
"identifier": "4286845601",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayette, MO
- Mary Ann T Coatney, CNM, APRN-BC (FNP)
- Mary Jeanette Collins, ATC, LATC
- Complete Health Care Solutions, Inc
- Complete Health Care Solutions, Inc (The Braun Home)
- Complete Health Care Solutions, Inc. (The Braun Home)
- Cooper County Memorial Hospital (CCMH Family Health Clinic)
- Abby Crede, MD
- Crossroads Counseling
- Mackenzie Lee Cullifer
- Curators of the University of Missouri (University Physicians Specialty Care Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.