Individual provider Active NPI

Joanne Lee Cooke, MS,RD,LD,CSR

  • Renal Nutrition Registered Dietitian
  • Kansas City, MO
National Provider Identifier
1841407269
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
RD659219
Practice address
4801 E Linwood Blvd
Dialysis M6-364
Kansas City, MO 64128
Phone
(816) 861-4700
Fax
(816) 922-4640
NPI assigned
May 16, 2007
Last updated
Aug 27, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X 2002022941 MO
Renal Nutrition Registered Dietitian 133VN1005X RD659219 Primary

Addresses

Primary practice location

4801 E Linwood Blvd
Dialysis M6-364
Kansas City, MO 64128

Mailing address

4801 E Linwood Blvd
Dialysis M6-364 Kansas City VA Med Center
Kansas City, MO 64128
Phone (816) 861-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2002022941MOMDRenal Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1841407269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 E LINWOOD BLVD",
            "address_2": "DIALYSIS M6-364 KANSAS CITY VA MED CENTER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64128",
            "telephone_number": "816-861-4700",
            "fax_number": "816-922-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 E LINWOOD BLVD",
            "address_2": "DIALYSIS M6-364",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64128",
            "telephone_number": "816-861-4700",
            "fax_number": "816-922-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "JOANNE",
        "middle_name": "LEE",
        "credential": "MS,RD,LD,CSR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "MO",
            "license": "2002022941",
            "primary": false
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": "RD659219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; 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.