Individual provider Active NPI

Emily Cook, DO

  • Family Medicine Physician
  • Centerville, UT
National Provider Identifier
1508124264
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9540057-1204 Issued in UT
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
CONNECT URL Emilycookdo@org67.direct.charmhealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150812008797 UT Practitioner - Family Practice 4183867088 Reassigns benefits to 1 organization
I20250314001235 MN Practitioner - Family Practice 4183867088 Reassigns benefits to 1 organization

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
Doctors at Home PCGroup PAC ID 8426490954, 6 clinicians

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

LicenseStateTypeSpecialty
9540057-1204UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. CurrentSince Aug 15, 2015 Accepting new patients
Active Recovery, LLC CurrentSince Jun 15, 2025 Accepting new patients
Doctors at Home PC Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Ihc Health Services Inc Family Medicine CurrentSince Aug 15, 2015 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.