Ray Robert Cook III

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

A-4208768 Issued in WA

Practice address

14125 Sr 530 NE
Arlington, WA 98223-9335

Phone

(425) 577-1502

NPI assigned

Mar 10, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Body Revolution LLC

  • Health & Wellness Coach
  • Arlington, WA
  • NPI 1467394056
  NPD Authorized official

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1720887003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14125 SR 530 NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982239335",
            "telephone_number": "425-577-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14125 SR 530 NE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982239335",
            "telephone_number": "425-577-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "RAY",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-10",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "WA",
            "license": "A-4208768",
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Collective Home Care LLC
• Community Health Center of Snohomish County
• Community Health Center of Snohomish County
• Douglas W. Conger, L.M.H.C
• Evie Louise Cook, RD
• Shealene J Cook, LMT
• Jana Rosenberg Cooke, M.D.
• Corey M O'Malley PT, DPT, PLLC
• Tara Marie Cornehl, LMP
• Courageous Counseling and Wellness PLLC

• Health & Wellness Coach in Arlington, WA
• Providers in Arlington, WA by specialty
• Health & Wellness Coach in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.