Individual provider Active NPI

Alexandra Cooke, APRN

  • Family Nurse Practitioner
  • Cleveland, TN
National Provider Identifier
1376288241
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31610 Issued in TN
Practice address
1970 Jordan Ave NW
Cleveland, TN 37311-1900
Phone
(423) 790-7662
NPI assigned
May 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 31610 TN Primary

Addresses

Primary practice location

1970 Jordan Ave NW
Cleveland, TN 37311-1900

Mailing address

187 Hickman St
Soddy Daisy, TN 37379-6932
Phone (423) 260-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220718003666 TN Practitioner - Nurse Practitioner 0446631758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
At Home Primary Care IncGroup PAC ID 8325236953, 11 clinicians
Caris Palliative Care LLCGroup PAC ID 3375876485, 9 clinicians

Practice addresses (Care Compare)

463 1St St NW
Cleveland, TN 37311-1760
Phone (423) 790-7662

5959 Shallowford Rd
Suite 551
Chattanooga, TN 37421-2240
Phone (423) 899-4044

Hospital & facility affiliations

  • Rhea Medical Center Hospital, Dayton, TN, CCN 441310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caris Palliative Care LLC CurrentSince Sep 25, 2025 Accepting new patients
At Home Primary Care Inc CurrentSince Aug 1, 2022 Accepting new patients

Locations

5959 Shallowford Rd
Ste 551
Chattanooga, TN 37421
Phone (423) 899-4044

5959 Shallowford Rd
Ste 512
Chattanooga, TN 37421

463 1st St NW
Cleveland, TN 37311
Phone (423) 790-6556

1412 Trotwood Ave
Ste 11
Columbia, TN 38401
Phone (931) 279-0041

10651 Coward Mill Rd
Knoxville, TN 37931
Phone (865) 694-4988

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1376288241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 HICKMAN ST",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373796932",
            "telephone_number": "423-260-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 JORDAN AVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111900",
            "telephone_number": "423-790-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "ALEXANDRA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.