Individual provider Active NPI

Jane France Cook, RN

  • Registered Nurse
  • Indio, CA
National Provider Identifier
1639416373
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
221415 Issued in CA
Practice address
81614 Avenida Celaya
Indio, CA 92203-4107
Phone
(760) 698-9402
NPI assigned
Jan 15, 2013
Last updated
Jan 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 221415 CA Primary
Case Management Registered Nurse 163WC0400X 97000 CA
Community Health Registered Nurse 163WC1500X 475999 CA

Addresses

Primary practice location

81614 Avenida Celaya
Indio, CA 92203-4107

Mailing address

816614 Avenida Celaya
Indio, CA 92203-4107
Phone (760) 698-9402

Other identifiers 3

IdentifierTypeStateIssuer
221514OtherCAREGISTERED NURSE
47599OtherCAPUBLIC HEALTH (PHN)
97000OtherCACCM (CERTIFIED CASE MANAGER )

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
221415CAMDRegistered Nurse
475999CAMDCommunity Health Registered Nurse
97000CAMDMOHS-Micrographic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1639416373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816614 AVENIDA CELAYA",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922034107",
            "telephone_number": "760-698-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81614 AVENIDA CELAYA",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922034107",
            "telephone_number": "760-698-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JANE",
        "middle_name": "FRANCE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "221415",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "97000",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "CA",
            "license": "475999",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "221514",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC HEALTH (PHN)",
            "identifier": "47599",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCM (CERTIFIED CASE MANAGER )",
            "identifier": "97000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.