Kerry Ann Cook, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110003854 Issued in VA

Practice address

3031 Javier Rd
Suite 210
Fairfax, VA 22031-4637

Phone

(703) 914-8000

Fax

(703) 914-0064

NPI assigned

Apr 9, 2012

Sex

Female

Sole proprietor

No

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

Enrolled in DC, VA2 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 2

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Town Center Orthopaedic Associates P C 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Reston Hospital Center Hospital, Reston, VA, CCN 490107

Merit-based Incentive Payment System (MIPS)

Final score

99.15 of 100Reported as group

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

Practice roles

Locations

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.

• Town Center Orthopaedic Associates, P.C.

  • Orthopaedic Surgery Physician
  • Reston, VA
  • NPI 1487755955

  DC, VA

  Medicare reassignment Care Compare group
• Town Center Orthopaedic Associates PC

  • Orthopaedic Surgery Physician
  • Centreville, VA
  • NPI 1407555253
  Care Compare group NPD
• Town Center Orthopaedic Associates P C

  • Orthopaedic Surgery Physician
  • Fairfax, VA
  • NPI 1710685466
  Care Compare group
• Town Center Orthopaedic Associates, P.C.

  • Orthopaedic Surgery Physician
  • Reston, VA
  • NPI 1093415002
  Care Compare group
• Town Center Orthopaedic Associates, P.C.

  • Orthopaedic Surgery Physician
  • Fairfax, VA
  • NPI 1841998804
  Care Compare group
• Physical Medicine Associates LTD

  • Clinical Laboratory Director (Non-physician)
  • Columbia, MD
  • NPI 1750840666
  NPD (past)

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

• Reston Hospital Center LLC

  • General Acute Care Hospital
  • Reston, VA
  • NPI 1053363853

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1720344229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 JAVIER RD",
            "address_2": "SUITE 210",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314637",
            "telephone_number": "703-914-8000",
            "fax_number": "703-914-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 JAVIER RD",
            "address_2": "SUITE 210",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314637",
            "telephone_number": "703-914-8000",
            "fax_number": "703-914-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "KERRY",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taejean Converti, DOM, MSOM, LAC
• Kerry L Conway Short, DPT, ATC
• Christine Shea Conway, PHD, LPC
• Kristine E Conway, RPH, JD
• Emily Coogan
• Laura Cook
• Patricia Cook, OTR/L
• Sara A Cook, OTR/L, CHT
• Jennifer Cooke, ATC
• Sheila Kathleen Cooke, CRNA

• All providers in Fairfax, VA
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.