Grace C Cooke

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

SJ471837 Issued in OH

Practice address

4541 E 104TH St Apt 1
Garfield HTS, OH 44125-1533

Phone

(440) 547-0246

NPI assigned

Jan 20, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Grace Cloud Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1417768243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 E 104TH ST APT 1",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441251533",
            "telephone_number": "440-547-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 E 104TH ST APT 1",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441251533",
            "telephone_number": "440-547-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "GRACE",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "OH",
            "license": "SJ471837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "CLOUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Brennan Cribbins, PA
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• Private Vehicle in Garfield HTS, OH
• Providers in Garfield HTS, OH by specialty
• Private Vehicle in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.