Active NPI
Kianna Cook, RD
- Registered Dietitian
- Lisle, IL
National Provider Identifier
1467273177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L007340
- Practice address
- 701 Warrenville Road
Suite 210
Lisle, IL 60532 - Phone
- (919) 268-2363
- NPI assigned
- Oct 24, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L007340 | NC | Primary |
Addresses
Primary practice location
701 Warrenville Road
Suite 210
Lisle, IL 60532
Mailing address
72 Autumn Dr
Franklinton, NC 27525
Phone (919) 268-2363
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L007340 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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": "1729728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1467273177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 AUTUMN DR",
"city": "FRANKLINTON",
"state": "NC",
"postal_code": "27525",
"telephone_number": "919-268-2363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 WARRENVILLE ROAD",
"address_2": "SUITE 210",
"city": "LISLE",
"state": "IL",
"postal_code": "60532",
"telephone_number": "919-268-2363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "KIANNA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-24",
"last_updated": "2024-10-24",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L007340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.