Active NPI
Cecilia Elese Cook
- Family Nurse Practitioner
- Southaven, MS
National Provider Identifier
1649155565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 907536
- Practice address
- 230 Goodman Rd E Ste 200
Southaven, MS 38671-8313 - Phone
- (662) 384-6949
- NPI assigned
- Aug 8, 2025
- Last updated
- Aug 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 907536 | MS | Primary |
Addresses
Primary practice location
230 Goodman Rd E Ste 200
Southaven, MS 38671-8313
Mailing address
PO Box 616
New Albany, MS 38652-0616
Phone (662) 266-3101
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 907536 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Relief Medical | Past | 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.
-
- Nurse Practitioner
- Southaven, MS
- NPI 1326816661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1649155565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 616",
"city": "NEW ALBANY",
"state": "MS",
"postal_code": "386520616",
"telephone_number": "662-266-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 GOODMAN RD E STE 200",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386718313",
"telephone_number": "662-384-6949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "CECILIA",
"middle_name": "ELESE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-08",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "907536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.