Cook Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10391 Issued in FL

Legal business name

COOK CHIROPRACTIC CLINIC

Practice address

309 Central Ave
Clewiston, FL 33440-3703

Phone

(863) 233-6084

NPI assigned

Jun 27, 2018

Last updated

Dec 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Cook, DC

Title

Owner

Phone

(863) 233-6084

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr Jennifer Cook Former legal business name

Locations

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1508351032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 RIVER RD",
            "city": "MOORE HAVEN",
            "state": "FL",
            "postal_code": "334716446",
            "telephone_number": "863-233-6084",
            "fax_number": "863-455-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 CENTRAL AVE",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334403703",
            "telephone_number": "863-233-6084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 NE 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Okeechobee",
            "state": "FL",
            "postal_code": "349722961",
            "country_code": "US",
            "telephone_number": "863-763-4320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COOK CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-233-6084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004141900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Jennifer Cook",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Clewiston Nursing & Rehabilitation, LLC
• Clewiston Nursing and Rehab Opco LLC (Vivo Healthcare Clewiston)
• Clewiston SNF Operations LLC (Clewiston Center for Rehabilitation and Healing)
• Lisandra Concepcion Aponte
• Susan Conley, FNP
• Tamika Alishia Cooke, AGPCNP-C
• Angel Crespo, APRN
• Roxana Crespo
• Edward Anthony Cronauer IV, DMD, MDS
• Veronica Cruz Simon

• Chiropractor in Clewiston, FL
• Providers in Clewiston, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.