Jenna Cooke, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95026099 Issued in CA

Practice address

19582 Beach Blvd Ste 202
Huntington Beach, CA 92648-2996

Phone

(714) 841-9899

NPI assigned

Nov 13, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

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.

• Hoag Hospital

  • General Acute Care Hospital
  • Newport Beach, CA
  • NPI 1689864365
  NPD (past)

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1730903097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 PARKWOOD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926207351",
            "telephone_number": "508-951-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19582 BEACH BLVD STE 202",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482996",
            "telephone_number": "714-841-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "JENNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95026099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Consul
• Continuum Geriatric Specialists Professional Medical Corporation
• Allyson Brooke Contreras, COTA/L, B.S, CLT
• Yolanda Contreras
• Ryan Alan Sheehan Cook
• Daniel Glenn Coonradt
• Jerrin Cooper
• Julie Copon, D.O.
• Janice Coquia
• Justin Cordell, DPT

• Family Nurse Practitioner in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.