Individual provider Active NPI

Audrey Rose Hooke, R.N

  • Behavior Analyst
  • Highland Park, MI
National Provider Identifier
1730492554
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
4704238338 Issued in MI
Practice address
12501 Hamilton Ave
Highland Park, MI 48203-3243
Phone
(313) 961-3350
NPI assigned
Jul 21, 2010
Last updated
Apr 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 4704238338 MI Primary

Addresses

Primary practice location

12501 Hamilton Ave
Highland Park, MI 48203-3243

Mailing address

12501 Hamilton Ave
Highland Park, MI 48203-3243

Other names 1

  • Ms. Audrey Rose Hooke Professional name

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704238338MIMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1730492554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 HAMILTON AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 HAMILTON AVE",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033243",
            "telephone_number": "313-961-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOKE",
        "first_name": "AUDREY",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "R.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MI",
            "license": "4704238338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUDREY",
            "last_name": "HOOKE",
            "middle_name": "ROSE",
            "prefix": "MS.",
            "credential": "R.N.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Highland Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.