Active NPI
Emily Cook, DO
- Family Medicine Physician
- Centerville, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9540057-1204
- Practice address
- 25 S Main St Ste 202
Centerville, UT 84014-1840 - Phone
- (801) 663-6656
- Fax
- (801) 810-1696
- NPI assigned
- May 1, 2012
- Last updated
- Jun 9, 2025
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9540057-1204 | UT | Primary |
Addresses
Primary practice location
25 S Main St Ste 202
Centerville, UT 84014-1840
Mailing address
1538 27TH St
Ogden, UT 84403-0411
Phone (480) 570-2580
Other practice location 1
12600 Whitewater Dr Ste 125
Minnetonka, MN 55343-4602
Phone (952) 562-1235
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Emilycookdo@org67.direct.charmhealth.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12600 Whitewater Dr
Suite 125
Minnentonka, MN 55343-4602
Phone (952) 562-1235
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9540057-1204 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current | Accepting new patients | |
| Active Recovery, LLC | Current | Accepting new patients | |
| Doctors at Home PC | Family Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Family Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients |
Locations
12600 Whitewater Dr
Ste 12
Minnetonka, MN 55343
Phone (952) 562-1235
12600 Whitewater Dr
Ste 125
Minnetonka, MN 55343
Phone (612) 859-7732
25 S Main St
Ste 202
Centerville, UT 84014
Phone (801) 663-6656
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
975 Chambers St
South Ogden, UT 84403
Phone (801) 387-6200
Interoperability endpoints
- emilycookdo@org73.direct.charmhealth.com
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1508124264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1538 27TH ST",
"city": "OGDEN",
"state": "UT",
"postal_code": "844030411",
"telephone_number": "480-570-2580",
"fax_number": "480-879-2526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 S MAIN ST STE 202",
"city": "CENTERVILLE",
"state": "UT",
"postal_code": "840141840",
"telephone_number": "801-663-6656",
"fax_number": "801-810-1696"
}
],
"practiceLocations": [
{
"address_1": "12600 Whitewater Dr Ste 125",
"address_purpose": "LOCATION",
"city": "Minnetonka",
"state": "MN",
"postal_code": "553434602",
"country_code": "US",
"telephone_number": "952-562-1235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOK",
"first_name": "EMILY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-01",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "9540057-1204",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Emilycookdo@org67.direct.charmhealth.com",
"affiliation": "N",
"endpointDescription": "Patient communication",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "620 E 1200 N",
"city": "Bountiful",
"state": "UT",
"country_code": "US",
"postal_code": "840102633",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Centerville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.