Kyle A Cook, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704316011 Issued in MI

Practice address

1881 W Grand River Ave
Okemos, MI 48864-1840

Phone

(517) 339-2100

Fax

(517) 339-4620

NPI assigned

Aug 9, 2019

Last updated

Aug 9, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15091/brand/3/csg/1/fhir/r4
• Direct secure messaging: kyle.cook.1@15091.direct.athenahealth.com
• Direct secure messaging: kylecook@ouchuc.allscriptsdirect.net

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.

• Bosworth Urgent Care PC

  • Urgent Care Clinic/Center
  • Okemos, MI
  • NPI 1275746091
  Medicare reassignment NPD
• Grand River Family Care, PC

  • Family Medicine Physician
  • Okemos, MI
  • NPI 1396301719
  Medicare reassignment NPD
• Bosworth Urgent Care, PC

  dba Grand River Family Care

  • Family Medicine Physician
  • Okemos, MI
  • NPI 1447676283
  NPD

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1831744457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 W GRAND RIVER AVE",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641840",
            "telephone_number": "517-339-2100",
            "fax_number": "517-339-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 W GRAND RIVER AVE",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641840",
            "telephone_number": "517-339-2100",
            "fax_number": "517-339-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "KYLE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704316011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://redicareokemos.com/",
            "affiliation": "N",
            "address_1": "1881 W Grand River Ave",
            "city": "Okemos",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488641840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Convenient Family Dental Center, P.C. (Convenient Family Dental)
• Eniyah Conway
• Gregory D Cook, ACSW, CSW
• Holly Christine Cook, PA-C
• Justin Ryan Cook, D.D.S.
• Miranda Lynn Cook
• June Cooke, LMSW
• Sarah Platt Cooney, OTR
• Richard George Copen, PH.D.
• Corey a Cook DDS PC

• Family Nurse Practitioner in Okemos, MI
• Providers in Okemos, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.