Kimberly Leigh Cooksey, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

S005312 Issued in AR

Practice address

303 E Matthews Ave Ste 202
Jonesboro, AR 72401-3120

Phone

(870) 207-7555

Fax

(870) 207-0520

NPI assigned

Aug 3, 2017

Last updated

Aug 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

LHCG Lxxxv LLCGroup PAC ID 2264712488, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elite Home Health Home health agency, Jonesboro, AR, CCN 047145

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• LHCG Lxxxv, LLC

  dba Elite Palliative Care Services

  • Nurse Practitioner
  • Jonesboro, AR
  • NPI 1700335031
  Medicare reassignment Care Compare group NPD
• St Bernards Hospital Inc.

  dba St Bernards Medical Center

  • General Acute Care Hospital
  • Jonesboro, AR
  • NPI 1396053096
  Medicare reassignment NPD
• St. Bernards Hospital Inc

  • Geriatric Medicine (Internal Medicine) Physician
  • Jonesboro, AR
  • NPI 1891178828
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Arkansas Home Health Providers-IV, LLC

  dba Elite Home Health

  • Home Health Agency
  • Jonesboro, AR
  • NPI 1265833636
  Care Compare affiliation

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501718400000",
    "number": "1841715547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E MATTHEWS AVE STE 202",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013120",
            "telephone_number": "870-207-7555",
            "fax_number": "870-207-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E MATTHEWS AVE STE 202",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013120",
            "telephone_number": "870-207-7555",
            "fax_number": "870-207-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKSEY",
        "first_name": "KIMBERLY",
        "middle_name": "LEIGH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2017-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "S005312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY PRACTICE",
            "identifier": "A005312",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Cook
• Paige Cook
• Shawntay Nicole Cook, MHPP
• Stephanie Cook
• William Cook, M.D.
• Barbara Cooley, APRN
• Shelby Cooper Day, LCSW
• Cooper Educational Therapy Services
• Cooper Rehabilitation Center
• Andrea Michelle Cooper, APN

• Family Nurse Practitioner in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.