Organization Active NPI

Karli Cooke Aprn, LLC

  • Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1588320337
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
KARLI COOKE APRN, LLC
Practice address
9885 Palomino Dr
Lake Worth, FL 33467-1000
Phone
(561) 881-6558
NPI assigned
Nov 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Karli Cooke, APRNNPI 1093265944
Title
Ceo
Phone
(561) 895-2558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

9885 Palomino Dr
Lake Worth, FL 33467-1000

Mailing address

9885 Palomino Dr
Lake Worth, FL 33467-1016
Phone (561) 536-4844

Other practice location 1

2615 S State Road 7 Ste B530
Wellington, FL 33414-9370
Phone (561) 881-6558

Other identifiers 1

IdentifierTypeStateIssuer
GNU8JOtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220624002765 FL Part B Supplier - Clinic/Group Practice 1355720160 Receives reassigned benefits from 1 practitioner
Practice locations: Wellington, FL

National Provider Directory

National Provider Directory

Locations

2615 S State Road 7
Ste B530
Wellington, FL 33414
Phone (561) 753-6768

2615 S State Road 7
Ste 530
Wellington, FL 33414

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26601/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1588320337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9885 PALOMINO DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334671016",
            "telephone_number": "561-536-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9885 PALOMINO DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334671000",
            "telephone_number": "561-881-6558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2615 S State Road 7 Ste B530",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334149370",
            "country_code": "US",
            "telephone_number": "561-881-6558",
            "fax_number": "949-798-6804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KARLI COOKE APRN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "KARLI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-895-2558",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "GNU8J",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.