Bernadette Tisdale Cook

Primary specialty

Vehicle Modifications ContractorTaxonomy code 171WV0202X

Practice address

2022 Poor House Road
Lawrenceville, VA 23868

Phone

(434) 247-1749

NPI assigned

Jul 7, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669994034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 POOR HOUSE RD",
            "city": "LAWRENCEVILLE",
            "state": "VA",
            "postal_code": "238682712",
            "telephone_number": "434-247-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 POOR HOUSE ROAD",
            "city": "LAWRENCEVILLE",
            "state": "VA",
            "postal_code": "23868",
            "telephone_number": "434-247-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "BERNADETTE",
        "middle_name": "TISDALE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WV0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Vehicle Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Clay, FNP
• Boyd Mawhinney Clements, M.D.
• Ynez Ann Coleman, RN
• Commonwealth of Virginia State Board of Health
• Hannah Jan Conway
• Steffini Cull, COTA/L
• Brittney Lynn Danehy
• Chelsea Davenport
• Marcus Davis
• Dianes Transportation

• Vehicle Modifications Contractor in Lawrenceville, VA
• Providers in Lawrenceville, VA by specialty
• Vehicle Modifications Contractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.