Individual provider Active NPI

Tamara Christine Cook, APRN

  • Family Nurse Practitioner
  • Spartanburg, SC
National Provider Identifier
1679080055
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19894 Issued in SC
Practice address
2995 Reidville Rd Ste 210
Spartanburg, SC 29301-5631
Phone
(864) 253-8140
NPI assigned
Jan 6, 2018
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2015021806 SC
Family Nurse Practitioner 363LF0000X 19894 SC Primary

Addresses

Primary practice location

2995 Reidville Rd Ste 210
Spartanburg, SC 29301-5631

Mailing address

PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304

Other practice location 1

2995 Reidville Rd Ste 100
Spartanburg, SC 29301-5600
Phone (864) 587-3000

Other practice location 2

2191 Southport Rd
Spartanburg, SC 29306-6257
Phone (864) 216-4680

Other practice location 3

575 Ingles Dr
Inman, SC 29349-8314
Phone (864) 342-4090

Other practice location 4

229 Hammett Rd
Wellford, SC 29385
Phone (864) 809-1786

Other practice location 5

2995 Reidville Rd Ste 210
Spartanburg, SC 29301-5631
Phone (864) 253-8140

Other practice location 6

3070 Reidville Rd
Spartanburg, SC 29301-5642
Phone (864) 576-5764

Other identifiers 2

IdentifierTypeStateIssuer
NP5211MedicaidSC
SCC6625019OtherSCMEDICARE PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tcook178937@direct-srhs.et0939.epichosted.com Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
19894SCMDFamily Nurse Practitioner
2015021806SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ingenios Health Co. CurrentSince Jan 13, 2021 Accepting new patients
Carolina Children's Clinic, LLC Past Accepting new patients

Locations

3070 Reidville Rd
Spartanburg, SC 29301
Phone (846) 576-5764

Organizations & group practices 2

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": "1515196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1679080055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 REIDVILLE RD STE 210",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293015631",
            "telephone_number": "864-253-8140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2995 Reidville Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293015600",
            "country_code": "US",
            "telephone_number": "864-587-3000",
            "fax_number": "864-574-4138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2191 Southport Rd",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293066257",
            "country_code": "US",
            "telephone_number": "864-216-4680",
            "fax_number": "864-583-5485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "575 Ingles Dr",
            "address_purpose": "LOCATION",
            "city": "Inman",
            "state": "SC",
            "postal_code": "293498314",
            "country_code": "US",
            "telephone_number": "864-342-4090",
            "fax_number": "864-578-7098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "229 Hammett Rd",
            "address_purpose": "LOCATION",
            "city": "Wellford",
            "state": "SC",
            "postal_code": "29385",
            "country_code": "US",
            "telephone_number": "864-809-1786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2995 Reidville Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293015631",
            "country_code": "US",
            "telephone_number": "864-253-8140",
            "fax_number": "864-587-0051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3070 Reidville Rd",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293015642",
            "country_code": "US",
            "telephone_number": "864-576-5764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "TAMARA",
        "middle_name": "CHRISTINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-06",
        "last_updated": "2022-07-21",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "2015021806",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP5211",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "SCC6625019",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcook178937@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "tcook178937@direct-srhs.et0939.epichosted.com",
            "address_1": "2995 Reidville Rd Ste 100",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293015600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • 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.