Individual provider Active NPI

Shannon Taylor Lavender Cook, MSN, FNP-C

  • Family Nurse Practitioner
  • Saint Albans, WV
National Provider Identifier
1659159564
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
104481 Issued in WV
Practice address
12 Kanawha Ter
Saint Albans, WV 25177-2750
Phone
(304) 201-1130
Fax
(304) 201-1134
NPI assigned
Sep 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 104481 WV
Family Nurse Practitioner 363LF0000X 104481 WV Primary

Addresses

Primary practice location

12 Kanawha Ter
Saint Albans, WV 25177-2750

Mailing address

97 Great Teays Blvd Ste 6
Scott Depot, WV 25560-9816
Phone (304) 757-6999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231031000539 WV Practitioner - Nurse Practitioner 8123474996 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womencare IncGroup PAC ID 4587568134, 52 clinicians

Practice addresses (Care Compare)

12803 Winfield Rd
Winfield, WV 25213-7452
Phone (304) 757-6999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
104481WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Jun 10, 2024 Accepting new patients
Womencare, Inc Current Accepting new patients
Womencare, Inc Current Accepting new patients
Womencare, Inc CurrentSince Apr 21, 2025 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Charleston Nephrology Hypertension and Transplant, PLLC CurrentSince Oct 11, 2023 Accepting new patients
Exceptional Care Services LLC Family CurrentSince Jun 10, 2024 Accepting new patients
Womencare, Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc CurrentSince Apr 21, 2025 Accepting new patients
Womencare Inc Current Accepting new patients
Womencare Inc Current Accepting new patients
Exceptional Care Services LLC Past Accepting new patients
Womencare Inc Past Accepting new patients
Women Care Inc Family Past Accepting new patients
Womencare, Inc Past Accepting new patients

Locations

1050 Chinoe Rd
Ste 350
Lexington, KY 40502
Phone (606) 275-9869

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

2 Chateau Ln
Barboursville, WV 25504
Phone (304) 736-9459

116 Hills Plz
Charleston, WV 25387
Phone (304) 720-4446

1220 Lee St E
Ste 201
Charleston, WV 25301
Phone (304) 342-7186

5161 Washington St W
Cross Lanes, WV 25313
Phone (304) 722-7600

301 Washington Ave
Rm 104
Dunbar, WV 25064

503 Roosevelt Blvd
Eleanor, WV 25070
Phone (304) 586-0001

3911 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 757-4845

3109 Teays Valley Rd
Hurricane, WV 25526
Phone (304) 562-2002

515 Main St
Madison, WV 25130
Phone (304) 369-0393

9709 Maccorkle Ave
#B
Marmet, WV 25315

401 6th Ave
Montgomery, WV 25136
Phone (304) 442-5151

1379 Van Voorhis Rd
Morgantown, WV 26505
Phone (304) 559-9480

122 Pinnell St
Bldg 6
Ripley, WV 25271
Phone (304) 400-4700

12 Kanawha Ter
Saint Albans, WV 25177
Phone (304) 201-1130

6500 McCorkle Ave
Saint Albans, WV 25177
Phone (304) 768-0002

97 Great Teays Blvd
Ste 6
Scott Depot, WV 25560

4825 Maccorkle Ave SW
Ste A
South Charleston, WV 25309
Phone (304) 400-4700

12803 Winfield Rd
Winfield, WV 25213
Phone (304) 586-3088

Interoperability endpoints

  • Direct secure messaging: shannon.lavender-cook.1@7363.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7363/brand/1/csg/1/fhir/r4

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1659159564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 GREAT TEAYS BLVD STE 6",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609816",
            "telephone_number": "304-757-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 KANAWHA TER",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772750",
            "telephone_number": "304-201-1130",
            "fax_number": "304-201-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVENDER COOK",
        "first_name": "SHANNON",
        "middle_name": "TAYLOR",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WV",
            "license": "104481",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "104481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, WV

Sources for this page

Verify at the official NPI Registry.