Individual provider Active NPI

Khaliah Shileen Cook, RN

  • Administrator Registered Nurse
  • Haughton, LA
National Provider Identifier
1649091877
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
211129 Issued in LA
Practice address
308 West Josie Lane
Haughton, LA 71037
Phone
(318) 286-2043
NPI assigned
Oct 21, 2024
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 211129 LA Primary

Addresses

Primary practice location

308 West Josie Lane
Haughton, LA 71037

Mailing address

308 West Josie Lane
Haughton, LA 71037
Phone (318) 286-2043

Other names 1

  • Flora Kayys Home LLC Professional name

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
211129LAMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Flora Kayys Home LLC CurrentSince Jun 1, 2025 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1649091877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 WEST JOSIE LANE",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "71037",
            "telephone_number": "318-286-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 WEST JOSIE LANE",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "71037",
            "telephone_number": "318-286-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "KHALIAH",
        "middle_name": "SHILEEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "LA",
            "license": "211129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FLORA",
            "last_name": "HOME LLC",
            "middle_name": "KAYYS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Haughton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; 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.