Individual provider Active NPI

Lucille Helen Cooke, RD

  • Registered Dietitian
  • Tucson, AZ
National Provider Identifier
1831629021
Registry record updated Jun 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
1601 N Tucson Blvd Ste 6
Tucson, AZ 85716-3404
Phone
(520) 829-9635
NPI assigned
Jun 19, 2017
Last updated
Jun 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

1601 N Tucson Blvd Ste 6
Tucson, AZ 85716-3404

Mailing address

5802 E South Wilshire Dr
Tucson, AZ 85711-4540
Phone (520) 870-2870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200224001126 AZ Practitioner - Registered Dietitian Or Nutrition Professional 1355778887 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Clinics for Rehabilitative Services CurrentSince Feb 14, 2020 Accepting new patients
Banner-University Medical Group Current Accepting new patients
Banner-University Medical Group CurrentSince May 21, 2022 Accepting new patients
Banner-University Medical Group CurrentSince May 21, 2022 Accepting new patients
Mealtime Connections, LLC PastSince Oct 30, 2022 Accepting new patients

Locations

3533 Canyon de Flores
Ste C
Sierra Vista, AZ 85650
Phone (520) 458-2000

1625 N Campbell Ave
Ste 131
Tucson, AZ 85719

2600 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 324-3600

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

3838 N Campbell Ave
Bldg 1
Tucson, AZ 85719
Phone (520) 694-2873

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

6261 N La Cholla Blvd
Ste 131
Tucson, AZ 85741
Phone (301) 984-1979

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497830400000",
    "number": "1831629021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 E SOUTH WILSHIRE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857114540",
            "telephone_number": "520-870-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD STE 6",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163404",
            "telephone_number": "520-829-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "LUCILLE",
        "middle_name": "HELEN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.