Individual provider Active NPI

Christopher Andrew Cook, DNP,CPNP-PC

  • Pediatric Nurse Practitioner
  • West Jordan, UT
National Provider Identifier
1417219080
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5991761-4405 Issued in UT
Practice address
9071 S 1300 W
#301
West Jordan, UT 84088-6672
Phone
(801) 565-1162
NPI assigned
Jun 11, 2012
Last updated
Jun 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 5991761-4405 UT Primary

Addresses

Primary practice location

9071 S 1300 W
#301
West Jordan, UT 84088-6672

Mailing address

1106 E Sleepy Hollow LN
Sandy, UT 84094-3728

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5991761-4405UTMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Families First Pediatrics LLC PastSince Sep 23, 2021 Accepting new patients
Families First Pediatrics LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: familiesfirstpeds.christophercook@119851.advancedmd-direct.com

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, 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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1417219080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 E SLEEPY HOLLOW LN",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9071 S 1300 W",
            "address_2": "#301",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840886672",
            "telephone_number": "801-565-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "CHRISTOPHER",
        "middle_name": "ANDREW",
        "credential": "DNP,CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "UT",
            "license": "5991761-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.