Melonie Ann Cook, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

A005489 Issued in AR

Practice address

1407 Jennifer St
Springdale, AR 72762-2091

Phone

(479) 466-9611

NPI assigned

May 20, 2019

Last updated

May 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Melonie Ann Horton Former 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": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1548827066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 JENNIFER ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727622091",
            "telephone_number": "479-466-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 JENNIFER ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727622091",
            "telephone_number": "479-466-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "MELONIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "A005489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELONIE",
            "last_name": "HORTON",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Savannah Luanne Conner, PH.D., LPC
• Daniel Joseph Conroy
• Conway County Community Service Inc.
• Delaney Christine Conway, PTA
• Katherine Jane Cook, MHPP
• Robin Cook, MHPP
• Katrina L Cooks
• Brandon Keith Cooksey, MHPP
• Cooper Family Medicine, P.a.
• Cabrina Cooper

• Gerontology Nurse Practitioner in Springdale, AR
• Providers in Springdale, AR by specialty
• Gerontology Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.