Individual provider Active NPI

Joanna L Cook, DC

  • Chiropractor
  • Harrisville, WV
National Provider Identifier
1619949203
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
826 Issued in WV
Practice address
404 N Penn Ave
Harrisville, WV 26362
Phone
(304) 966-6344
Fax
(304) 643-5152
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 826 WV Primary

Addresses

Primary practice location

404 N Penn Ave
Harrisville, WV 26362

Mailing address

404 N Penn Ave
Harrisville, WV 26362-1128
Phone (304) 966-6344

Other practice location 1

906 Grand Central Ave
Vienna, WV 26105-2172
Phone (304) 865-9355

Other practice location 2

1600 E Main St
Harrisville, WV 26362-9201
Phone (304) 966-6634

Other practice location 3

404 N Penn Ave
Harrisville, WV 26362
Phone (304) 966-6344

Other identifiers 4

IdentifierTypeStateIssuer
3810006837MedicaidWV
001889916OtherWVBCBS
CH3046MedicaidSC
2699174MedicaidOH

Other names 1

  • Dr. Joanna L Cook Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070116000638 WV Practitioner - Chiropractic 2567489933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 E Main St
Harrisville, WV 26362-9201
Phone (304) 966-6344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Chiropractic, PLLC Chiropractor CurrentSince Sep 1, 2005 Accepting new patients
Krolick Wellness, LLC Chiropractor Past Accepting new patients

Locations

1600 E Main St
Harrisville, WV 26362
Phone (304) 966-6344

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1619949203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N PENN AVE",
            "city": "HARRISVILLE",
            "state": "WV",
            "postal_code": "263621128",
            "telephone_number": "304-966-6344",
            "fax_number": "304-643-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N PENN AVE",
            "city": "HARRISVILLE",
            "state": "WV",
            "postal_code": "26362",
            "telephone_number": "304-966-6344",
            "fax_number": "304-643-5152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "906 Grand Central Ave",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "WV",
            "postal_code": "261052172",
            "country_code": "US",
            "telephone_number": "304-865-9355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 E Main St",
            "address_purpose": "LOCATION",
            "city": "Harrisville",
            "state": "WV",
            "postal_code": "263629201",
            "country_code": "US",
            "telephone_number": "304-966-6634",
            "fax_number": "304-643-5152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 N Penn Ave",
            "address_purpose": "LOCATION",
            "city": "Harrisville",
            "state": "WV",
            "postal_code": "26362",
            "country_code": "US",
            "telephone_number": "304-966-6344",
            "fax_number": "304-643-5152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "JOANNA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WV",
            "license": "826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810006837",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001889916",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH3046",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2699174",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "COOK",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harrisville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.