Individual provider Active NPI

Christina R Cook, NP

  • Family Nurse Practitioner
  • Inman, SC
National Provider Identifier
1679951776
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
19383 Issued in SC
Practice address
63 Blackstock Rd
Inman, SC 29349-1835
Phone
(337) 991-9276
NPI assigned
May 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 19383 SC
Family Nurse Practitioner 363LF0000X 19383 SC Primary

Addresses

Primary practice location

63 Blackstock Rd
Inman, SC 29349-1835

Mailing address

5750 Johnston St Ste 205
Lafayette, LA 70503-5334
Phone (337) 991-9276

Other identifiers 1

IdentifierTypeStateIssuer
NP3293MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20150721001765 SC Practitioner - Nurse Practitioner 5890008759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of South Carolina PCGroup PAC ID 1951672617, 226 clinicians
CH Specialty Services SC LLCGroup PAC ID 6608182993, 222 clinicians

Practice addresses (Care Compare)

2375 Baker Hospital Blvd
North Charleston, SC 29405-8233
Phone (737) 226-6700

6650 Rivers Ave
North Charleston, SC 29406-4809
Phone (337) 991-9276

Hospital & facility affiliations

  • Amedisys Home Health of Charleston East Home health agency, Charleston, SC, CCN 427027
  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
19383SCMDDiagnostic Neuroimaging (Radiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services SC LLC Nurse Practitioner CurrentSince Jun 7, 2023 Accepting new patients
Curana Health of South Carolina PC CurrentSince Jun 24, 2021 Accepting new patients

Locations

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

4000 Faber Place Dr
Ste 300
North Charleston, SC 29405
Phone (704) 956-3062

6650 Rivers Ave
North Charleston, SC 29406
Phone (843) 260-5361

2375 Baker Hospital Blvd
North Charleston, SC 29405
Phone (843) 744-2750

255 Midland Pkwy
Summerville, SC 29485
Phone (843) 821-5005

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1679951776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 JOHNSTON ST STE 205",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705035334",
            "telephone_number": "337-991-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 BLACKSTOCK RD",
            "city": "INMAN",
            "state": "SC",
            "postal_code": "293491835",
            "telephone_number": "337-991-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "CHRISTINA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "19383",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3293",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inman, SC

Sources for this page

Verify at the official NPI Registry.