Individual provider Active NPI

Ingrid Guay Cook, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1821301912
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APO6191 Issued in LA
Practice address
1825 N 18TH St
Monroe, LA 71201-4420
Phone
(318) 322-7999
NPI assigned
Jul 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP06191 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APO6191 LA Primary

Addresses

Primary practice location

1825 N 18TH St
Monroe, LA 71201-4420

Mailing address

1006 Highland Ave
Shreveport, LA 71101-4103
Phone (318) 222-6226

Other practice location 1

1006 Highland Ave
Shreveport, LA 71101-4103
Phone (318) 222-6226

Other identifiers 4

IdentifierTypeStateIssuer
042628APNOtherLACDS
060109OtherLALOUISIANA PA#
2120107MedicaidLA
12290OtherTXRX AUTHORITY NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20191008000579 LA Practitioner - Nurse Practitioner 1153652060 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APO6191LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morehouse Community Medical Centers, Inc. CurrentSince Aug 2, 2021 Accepting new patients
Morehouse Community Medical Centers, Inc. CurrentSince Aug 2, 2021 Accepting new patients
Morehouse Community Medical Centers, Inc. Psychiatric/Mental Health Current Accepting new patients

Locations

518 Durham St
Bastrop, LA 71220
Phone (318) 556-3333

1825 N 18th St
Monroe, LA 71201
Phone (318) 322-7999

Organizations & group practices 4

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": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1821301912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 HIGHLAND AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014103",
            "telephone_number": "318-222-6226",
            "fax_number": "318-524-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 N 18TH ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014420",
            "telephone_number": "318-322-7999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711014103",
            "country_code": "US",
            "telephone_number": "318-222-6226",
            "fax_number": "318-524-7252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "INGRID",
        "middle_name": "GUAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "AP06191",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "APO6191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "042628APN",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA PA#",
            "identifier": "060109",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2120107",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RX AUTHORITY NUMBER",
            "identifier": "12290",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.