Jordyn M Cook

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000056220 Issued in CA

Practice address

109 Water Way Apt 7
Hampton, VA 23666-5896

Phone

(310) 988-8691

NPI assigned

Aug 16, 2024

Last updated

Aug 16, 2024By the provider in NPPES

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

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": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1578395620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 MAGNOLIA AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062519",
            "telephone_number": "310-988-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WATER WAY APT 7",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665896",
            "telephone_number": "310-988-8691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2781 Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908062519",
            "country_code": "US",
            "telephone_number": "310-988-8691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "JORDYN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000056220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Convenient Healthcare VA, LLC
• Alva Cooper Cook, M.ED., CCC/SLP
• Heather Michelle Cook, DNP, APRN, FNP-BC
• Jamie Lynn Cook, PHARMD
• Jezeriah Wayne Cook, PA-C
• Laura A Cook, LPC
• Tammy Cook
• Thomas Garrett Cook, IDMT
• Cathy G Cooke, PSY.D
• Erica Lynn Cooke, NP

• Athletic Trainer in Hampton, VA
• Providers in Hampton, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.