Active NPI
Debra Cook
- Registered Nurse
- Harrison, AR
National Provider Identifier
1336538313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R034289
- Practice address
- 121 Sawgrass PT
Harrison, AR 72601-3072 - Phone
- (870) 391-3871
- Fax
- (870) 391-3874
- NPI assigned
- Jan 14, 2015
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R034289 | AR | Primary |
Addresses
Primary practice location
121 Sawgrass PT
Harrison, AR 72601-3072
Mailing address
4171 N Crossover Rd
Fayetteville, AR 72703-4591
Phone (479) 521-1247
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 |
|---|---|---|---|
| R034289 | AR | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1336538313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4171 N CROSSOVER RD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034591",
"telephone_number": "479-521-1247",
"fax_number": "479-521-6520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 SAWGRASS PT",
"city": "HARRISON",
"state": "AR",
"postal_code": "726013072",
"telephone_number": "870-391-3871",
"fax_number": "870-391-3874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "DEBRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-14",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AR",
"license": "R034289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrison, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.