Individual provider Active NPI

Catherine Marie Cook, MSN, APRN, AGCNS-BC

  • Clinical Nurse Specialist
  • Northville, MI
National Provider Identifier
1457091423
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
4704306864 Issued in MI
Practice address
19316 W Harbour Village Dr
Northville, MI 48167-3151
Phone
(734) 358-9196
NPI assigned
Mar 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 4704306864 MI Primary

Addresses

Primary practice location

19316 W Harbour Village Dr
Northville, MI 48167-3151

Mailing address

19316 W Harbour Village Dr
Northville, MI 48167-3151
Phone (734) 358-9196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20221004000614 MI Practitioner - Certified Clinical Nurse Specialist (CNS) 4284010968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Healthcare Professionals PCGroup PAC ID 0345413258, 525 clinicians

Practice addresses (Care Compare)

13530 Michigan Ave
Suite 280
Dearborn, MI 48126-3575
Phone (313) 476-3940

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Jun 18, 2022 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jun 18, 2022 Accepting new patients

Locations

13530 Michigan Ave
Ste 280
Dearborn, MI 48126
Phone (313) 476-3940

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

30000 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 551-5000

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

3950 S Rochester Rd
Ste 1200
Rochester Hills, MI 48307
Phone (248) 844-6000

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.

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1457091423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19316 W HARBOUR VILLAGE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481673151",
            "telephone_number": "734-358-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19316 W HARBOUR VILLAGE DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481673151",
            "telephone_number": "734-358-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "CATHERINE",
        "middle_name": "MARIE",
        "credential": "MSN, APRN, AGCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "MI",
            "license": "4704306864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

Verify at the official NPI Registry.