Elizabeth M Cook, FNP
Individual provider Active NPI Family Nurse Practitioner · Washougal, WA
NPI 1629049705 · NPPES record last updated May 11, 2018
Key facts
- NPI
- 1629049705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP30007055 (WA)
- Practice address
- 291 C St Unit 110
Washougal, WA 98671-2168 - Phone
- (360) 882-2778
- Fax
- (360) 604-1644
- NPI assigned
- Jan 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Vancouver Clinic Inc PS
Practice addresses (Care Compare)
291 C St
Unit 110
Washougal, WA 98671-2168
Phone (360) 882-2778
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060406000012 | WA | Practitioner - Nurse Practitioner | 1254387210 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200250029NP | OR | MD | Family Nurse Practitioner |
| AP30007055 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Vancouver Clinic Inc PS | Current |
Accepting new patients | |
| The Vancouver Clinic Inc PS | Current |
Accepting new patients | |
| Rehab Specialists I, LLC | Past | Accepting new patients | |
| Urgent Care NW Gresham PC | Past |
Accepting new patients | |
| The Vancouver Clinic Pharmacy | Past | Accepting new patients |
Locations
2005 W Main St
Ste 110
Battle Ground, WA 98604
501 SE 172nd Ave
Ste 130150
Vancouver, WA 98684
700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500
400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000
291 C St
Unit 110
Washougal, WA 98671
Interoperability endpoints
- ewalton4729@tvc-direct.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 200250029NP | OR | |
| Family Nurse Practitioner | 363LF0000X | AP30007055 | WA | Yes |
Addresses
Primary practice location
291 C St Unit 110
Washougal, WA 98671-2168
Mailing address
700 NE 87TH Ave
Vancouver, WA 98664-1913
Phone (360) 397-3352
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9648171 | Medicaid | WA |
Other names
- Elizabeth M Walton
Other providers in Washougal, WA
- Hayley Elizabeth Claypool
- Justin L Cochell
- Angela Jeanette Collins
- Community Pregnancy Center of Camas/Washougal
- Linda Marie Conrad
- Megan Abbott Costello
- Cozy Communicators PLLC
- Cheri Creighton
- Rita Cunningham
- Janice D'Aloia
All providers in Washougal, WA · Family Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.