Mary Brianna Cook, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-303168 Issued in GA

Practice address

2918 E Walnut Ave
Dalton, GA 30721-8724

Phone

(706) 529-4600

Fax

(706) 529-4633

NPI assigned

Jul 27, 2021

Last updated

Sep 10, 2021By the provider in NPPES

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

Other names 1

• Mary Brianna Cook Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bright Pediatrics, PC

  • Pediatrics Physician
  • Dalton, GA
  • NPI 1912224577
  NPD

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1760155725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 E WALNUT AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218724",
            "telephone_number": "706-529-4600",
            "fax_number": "706-529-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 E WALNUT AVE",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218724",
            "telephone_number": "706-529-4600",
            "fax_number": "706-529-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "MARY",
        "middle_name": "BRIANNA",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "GA",
            "license": "L-303168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "COOK",
            "middle_name": "BRIANNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jennifer L Connors, CSW008381
• Conrad H Easley MD PC
• Falon Cook
• Hewlette Dennis Cook
• Kara Allison Cook, APRN BC
• Ray Cook
• James L Coone, M.D.
• Adrienne J Cooper, M.ED.
• Jennifer Lynn Cooper, RPH
• Jordan Cooper

• Lactation Consultant (Non-RN) in Dalton, GA
• Providers in Dalton, GA by specialty
• Lactation Consultant (Non-RN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.