Individual provider Active NPI

Samantha D Cook, NP-C

  • Family Nurse Practitioner
  • Chillicothe, OH
National Provider Identifier
1750846424
Registry record updated Jul 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1197024 Issued in TX
Practice address
230 Cherry St
Chillicothe, OH 45601-2301
Phone
(220) 666-0507
Fax
(220) 666-0507
NPI assigned
Feb 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3013129 KY
Nurse Practitioner 363L00000X 024145 OH
Family Nurse Practitioner 363LF0000X 1197024 TX Primary

Addresses

Primary practice location

230 Cherry St
Chillicothe, OH 45601-2301

Mailing address

11553 US Highway 52
Stout, OH 45684-9649
Phone (740) 285-2279

Other identifiers 2

IdentifierTypeStateIssuer
024145MedicaidOH
3013129MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190618002239 KY Practitioner - Nurse Practitioner 9335473727 Reassigns benefits to 2 organizations
I20190626003987 OH Practitioner - Nurse Practitioner 9335473727 Reassigns benefits to 1 organization
I20250520004648 TX Practitioner - Nurse Practitioner 9335473727 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3013129KYMDNurse Practitioner
024145OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tapestry Telehealth PLLC Nurse Practitioner CurrentSince May 13, 2022 Accepting new patients

Locations

99 Hawley Ln
Ste 1102
Stratford, CT 06614

424 Lewis Hargett Cir
Fl 2
Lexington, KY 40503
Phone (859) 285-6485

424 Lewis Hargett Cir
#2
Lexington, KY 40503

260 S Mayo Trl
Pikeville, KY 41501
Phone (606) 437-7327

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

325 N Saint Paul St
Ste 3100
Dallas, TX 75201
Phone (203) 747-8696

711 Kings Way
Del Rio, TX 78840
Phone (830) 774-0698

10851 Crescent Moon Dr
Houston, TX 77064
Phone (281) 890-0171

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751760000000",
    "number": "1750846424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11553 US HIGHWAY 52",
            "city": "STOUT",
            "state": "OH",
            "postal_code": "456849649",
            "telephone_number": "740-285-2279",
            "fax_number": "220-666-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CHERRY ST",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012301",
            "telephone_number": "220-666-0507",
            "fax_number": "220-666-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "SAMANTHA",
        "middle_name": "D",
        "name_prefix": "Miss",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2025-07-06",
        "certification_date": "2025-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3013129",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "024145",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1197024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024145",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3013129",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.