Susan Cook

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

D0024768 Issued in MD

Practice address

104 Ridgely Ave
Suite 302
Annapolis, MD 21401-1439

Phone

(410) 280-9500

Fax

(443) 214-5168

NPI assigned

Feb 4, 2014

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 identifiers 1

Other names 1

• Viki Bravo Other 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": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1467875963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 RIDGELY AVE",
            "address_2": "SUITE 302",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011439",
            "telephone_number": "410-280-9500",
            "fax_number": "443-214-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 RIDGELY AVE",
            "address_2": "SUITE 302",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011439",
            "telephone_number": "410-280-9500",
            "fax_number": "443-214-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "MD",
            "license": "D0024768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1548601883",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIKI",
            "last_name": "BRAVO",
            "credential": "BILLING MANAGER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Erin Cook, CRNP
• Robert A Cook, DMD
• Robert C Cook, MD
• Sandra Soslau Cook, CRNP
• Sara Cook, FNP
• Albert E. Coombs, PHYSICIAN ASSISTANT
• Amanda Leigh Cooper, APRN - CNS
• Jacqueline F Cooper, CLINICAL PSYCH
• Janelle Christine Cooper, M.D.
• Susanna Cooper, LCPC

• Legal Medicine in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Legal Medicine in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.