Individual provider Active NPI

Juliet Cook, CRNP

  • Family Nurse Practitioner
  • Downingtown, PA
National Provider Identifier
1386646875
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TP004921B Issued in PA
Practice address
150 E Pennsylvania Ave Ste 200
Downingtown, PA 19335-2602
Phone
(610) 280-7960
Fax
(610) 280-7962
NPI assigned
Aug 15, 2005
Last updated
Jan 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 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 TP004921B PA Primary

Addresses

Primary practice location

150 E Pennsylvania Ave Ste 200
Downingtown, PA 19335-2602

Mailing address

150 E Pennsylvania Ave Ste 200
Downingtown, PA 19335-2602
Phone (610) 280-7960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040412000837 PA Practitioner - Nurse Practitioner 9537153754 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Healthcare CurrentSince May 1, 2019 Accepting new patients
Pottstown Hospital Company LLC Past Accepting new patients
Premise Health of Pennsylvania Medical PC PastSince Dec 16, 2020 Accepting new patients
Pottstown Hospital Company LLC Past Accepting new patients

Locations

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

150 E Pennsylvania Ave
Ste 200
Downingtown, PA 19335
Phone (484) 447-2643

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1386646875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E PENNSYLVANIA AVE STE 200",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352602",
            "telephone_number": "610-280-7960",
            "fax_number": "610-280-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E PENNSYLVANIA AVE STE 200",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352602",
            "telephone_number": "610-280-7960",
            "fax_number": "610-280-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JULIET",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "TP004921B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downingtown, PA

Sources for this page

Verify at the official NPI Registry.