Angela K. Cook, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

13922 Issued in TN

Practice address

146 Timber Creek Dr Ste 200
Cordova, TN 38018-4474

Phone

(901) 751-4112

Fax

(901) 751-9878

NPI assigned

May 23, 2006

Reactivated

Oct 31, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, TN, FL3 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

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cordova Pain Specialists, PLLCGroup PAC ID 1759500523, 5 clinicians

Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Friendship Medical Clinic LLCGroup PAC ID 0648275024, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DGAACA

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.

• Cordova Pain Specialists, PLLC

  • Pain Medicine Physician
  • Cordova, TN
  • NPI 1437565900
  Medicare reassignment Care Compare group NPD
• Friendship Medical Clinic, LLC

  • Nurse Practitioner
  • Ecru, MS
  • NPI 1275586273
  Medicare reassignment Care Compare group NPD
• Michael E Steuer, MD, PC

  • Specialist
  • Cordova, TN
  • NPI 1861824559
  Medicare reassignment NPD
• Michael E Steuer MD PC

  • Interventional Pain Medicine Physician
  • Southaven, MS
  • NPI 1073652160
  Medicare reassignment NPD
• Sacred Heart Health System, Inc.

  • Urgent Care Clinic/Center
  • Pensacola, FL
  • NPI 1770533077
  Medicare reassignment NPD
• Michael E Steuer MD PC

  • Specialist
  • Jackson, TN
  • NPI 1114276052
  NPD
• Michael E. Steuer MD PC

  • Specialist
  • Oxford, MS
  • NPI 1124348545
  NPD
• Midsouth Interventional Pain Institute, LLC

  • Ambulatory Surgical Clinic/Center
  • Southaven, MS
  • NPI 1083898605
  NPD
• Tri Hospital MRI Center

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Port Huron, MI
  • NPI 1063581353
  NPD (past)
• W Thomas Oakes Jr, MD, PC

  • Neurology Physician
  • Tupelo, MS
  • NPI 1760581227
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1760437404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 W. BRIERBROOK ROAD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "662-470-1921",
            "fax_number": "901-624-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 TIMBER CREEK DR STE 200",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184474",
            "telephone_number": "901-751-4112",
            "fax_number": "901-751-9878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6958 Goodman Rd",
            "address_purpose": "LOCATION",
            "city": "Olive Branch",
            "state": "MS",
            "postal_code": "386547034",
            "country_code": "US",
            "telephone_number": "662-419-5441",
            "fax_number": "662-419-5441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4127 W Main St",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388018129",
            "country_code": "US",
            "telephone_number": "662-419-5441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1004 Greystone Sq",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "TN",
            "postal_code": "383053580",
            "country_code": "US",
            "telephone_number": "731-664-1773",
            "fax_number": "731-664-1751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3888 Highway 90",
            "address_purpose": "LOCATION",
            "city": "Pace",
            "state": "FL",
            "postal_code": "325711014",
            "country_code": "US",
            "telephone_number": "850-994-2229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "ANGELA",
        "middle_name": "K.",
        "name_prefix": "Miss",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2019-11-05",
        "deactivation_date": "2019-08-01",
        "reactivation_date": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R858017",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9390423",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "13922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comfort Zone Dental Center, LLC
• Companion Homecare
• Comprehensive Behavioral Concepts
• Conrad Pearson Clinic PC
• Contagious Smiles PC
• Stacy Cameron Cook Jr., CBRPA RPA
• Sherrie Caldwell Cooke, M.S., M.A., CCC-A
• Jennette Cooper
• Lisa Cooper, M.S. CCC-SLP
• Sarah Corda

• Family Nurse Practitioner in Cordova, TN
• Providers in Cordova, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.