Tara Rose Cook, LAT, ATC, CEAS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

36001466A Issued in IN

Practice address

3921 E 75TH St
Indianapolis, IN 46240-3607

Phone

(317) 902-4441

NPI assigned

Mar 18, 2010

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

State licenses

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1770807802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 E 75TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403607",
            "telephone_number": "317-902-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 E 75TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403607",
            "telephone_number": "317-902-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "TARA",
        "middle_name": "ROSE",
        "credential": "LAT, ATC, CEAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IN",
            "license": "36001466A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Matthew Cook
• Savannah Summer Cook
• Shannon Virginia Cook, RN, FNP-BC, WHNP
• Stephen Christopher Cook, MD
• Susan Cook
• Tricia Kay Cook, CSFA
• Zaryah Cook
• Cook'S Fabrication, Inc
• Alyssa M Cooke, MD
• Cydaria Lashon Cooke, MBA, MSW, LCSW

• Athletic Trainer in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Athletic Trainer in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.