Active NPI
James N. Cooke, FNP-C
- Family Nurse Practitioner
- Newberg, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 098006159N1
- Practice address
- 1001 N Providence Dr
Newberg, OR 97132-7485 - Phone
- (503) 537-1470
- NPI assigned
- Jun 13, 2005
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 098006159N1 | OR | Primary |
Addresses
Primary practice location
1001 N Providence Dr
Newberg, OR 97132-7485
Mailing address
PO Box 3158
Portland, OR 97208-3158
Other practice location 1
1909 Mountain View Ln
Ste 200
Forest Grove, OR 97116-2893
Phone (503) 359-4773
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269484 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silverton Health | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Providence Medical Group, PC | Past | Accepting new patients | |
| Timothy J Gray DO LLC | Past | Accepting new patients |
Locations
342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660
347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667
1475 Mount Hood Ave
Ste 130
Woodburn, OR 97071
1475 Mount Hood Ave
Ste 140
Woodburn, OR 97071
Phone (503) 873-8853
Interoperability endpoints
- jcooke287831@oc.providencedirect.org
- https://api.platform.athenahealth.com/26386/brand/1/csg/1/fhir/r4
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
-
- Multi-Specialty Clinic/Center
- Silverton, OR
- NPI 1215274360
-
- Clinic/Center
- Molalla, OR
- NPI 1861116055
-
- Family Medicine Physician
- Forest Grove, OR
- NPI 1477518694
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1063570604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613433600000",
"number": "1366446742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 N PROVIDENCE DR",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971327485",
"telephone_number": "503-537-1470"
}
],
"practiceLocations": [
{
"address_1": "1909 Mountain View Ln",
"address_2": "Ste 200",
"address_purpose": "LOCATION",
"city": "Forest Grove",
"state": "OR",
"postal_code": "971162893",
"country_code": "US",
"telephone_number": "503-359-4773",
"fax_number": "503-359-3809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOKE",
"first_name": "JAMES",
"middle_name": "N.",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2021-02-16",
"certification_date": "2021-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "098006159N1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "269484",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.