Tamela Cook-Mobley, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3011065 Issued in KY

Practice address

317 Sanders Way
Goldendale, WA 98620-9059

Phone

(509) 773-1407

Fax

(509) 773-4543

NPI assigned

Mar 16, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY, WA, OH, NH, DE, CT, ME, WV8 enrollments

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 8

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tcookmobley@kvhealthfm.gwaydirect.com
• Direct secure messaging: tamela.cook-mobley.1@28331.direct.athenahealth.com

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.

• Pursuecare NH LLC

  • Psychiatry Physician
  • Bedford, NH
  • NPI 1316775919

  Family, NH

  Medicare reassignment Care Compare group NPD
• Pursuecare, LLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Middletown, CT
  • NPI 1962068296

  DE, Family, KY, ME, NH, OH, WV

  Medicare reassignment Care Compare group NPD
• Klickitat County Public Hospital District No 1

  • Critical Access Hospital
  • Goldendale, WA
  • NPI 1386689487

  WA

  Medicare reassignment NPD
• Ephraim McDowell Health Resource, Inc.

  • Family Medicine Physician
  • Danville, KY
  • NPI 1487708533

  Family, KY

  Medicare reassignment NPD
• Pai CT PLLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Middletown, CT
  • NPI 1841027653

  CT, Family

  Medicare reassignment NPD
• Pai Medical WV PLLC

  • Psychiatry Physician
  • Kearneysville, WV
  • NPI 1972323061

  Family, WV

  Medicare reassignment NPD
• Trihealth U LLC

  • Community Health Clinic/Center
  • Cincinnati, OH
  • NPI 1528605177

  OH

  Medicare reassignment NPD
• Pai Oh LLC

  • Addiction Medicine (Preventive Medicine) Physician
  • Cincinnati, OH
  • NPI 1043039142

  OH

  Medicare reassignment
• Pursuecare Connecticut PC

  • Psychiatry Physician
  • Middletown, CT
  • NPI 1003443185

  CT

  Medicare reassignment
• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD
• Ephraim McDowell Health Resource, Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Danville, KY
  • NPI 1174484463

  Family

  NPD
• Ephraim McDowell Health Resource, Inc.

  • Family Medicine Physician
  • Harrodsburg, KY
  • NPI 1174678643
  NPD

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pursuecare, LLC 26 clinicians

Pursuecare NH LLC 2 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1699216192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S ROOSEVELT ST",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "986209201",
            "telephone_number": "509-773-4022",
            "fax_number": "509-773-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 SANDERS WAY",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "986209059",
            "telephone_number": "509-773-1407",
            "fax_number": "509-773-4543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1509 Louisville Rd",
            "address_purpose": "LOCATION",
            "city": "Harrodsburg",
            "state": "KY",
            "postal_code": "403308622",
            "country_code": "US",
            "telephone_number": "859-734-5770",
            "fax_number": "859-734-7952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12110 Lebanon Rd",
            "address_purpose": "LOCATION",
            "city": "Sharonville",
            "state": "OH",
            "postal_code": "452411739",
            "country_code": "US",
            "telephone_number": "513-853-9700",
            "fax_number": "513-852-8970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Metker Trl Ste A",
            "address_purpose": "LOCATION",
            "city": "Stanford",
            "state": "KY",
            "postal_code": "404841049",
            "country_code": "US",
            "telephone_number": "606-365-8338 x312",
            "fax_number": "606-365-8142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK-MOBLEY",
        "first_name": "TAMELA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2023-07-10",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027402",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE NUMBER",
            "identifier": "1129681",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE NUMBER",
            "identifier": "3011065",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Christiansen
• Andrea Dawn Colyar
• Community Birth Group
• Comprehensive Healthcare
• Comprehensive Healthcare
• Deborah L Cramer
• Jeanne Marie Cummings, RDH
• Shalea Daniels
• David and Brenda Reimche-Vu, DDS, PS
• Jennifer Denning

• All providers in Goldendale, WA
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.