Individual provider Active NPI

Krystal Cook, N.P.

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1881021590
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008286 Issued in KY
Practice address
9070 Dixie Hwy Ste 6
Louisville, KY 40258-1007
Phone
(502) 271-3236
Fax
(502) 271-3356
NPI assigned
Sep 27, 2013
Last updated
Dec 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3008286 KY Primary

Addresses

Primary practice location

9070 Dixie Hwy Ste 6
Louisville, KY 40258-1007

Mailing address

2700 Stanley Gault Pkwy Ste 129
Louisville, KY 40223-5176
Phone (502) 253-4900

Other practice location 1

1801 Lynn Way
Louisville, KY 40222-6552
Phone (502) 426-4513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH, CA, DC, IL, MD6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20140728000886 KY Practitioner - Nurse Practitioner 8527284561 Reassigns benefits to 2 organizations
I20230127001120 OH Practitioner - Nurse Practitioner 8527284561 Reassigns benefits to 1 organization
I20230808003104 CA Practitioner - Nurse Practitioner 8527284561 Reassigns benefits to 2 organizations
I20240207003512 DC Practitioner - Nurse Practitioner 8527284561 Reassigns benefits to 1 organization
I20240522000785 IL Practitioner - Nurse Practitioner 8527284561
I20240605000413 MD Practitioner - Nurse Practitioner 8527284561

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth-Arizona CurrentSince May 1, 2024 Accepting new patients
Dispatchhealth-Ca, PC CurrentSince Dec 26, 2023 Accepting new patients
PMR Ky Holding, LLC CurrentSince May 1, 2024 Accepting new patients
Amin's Family Practice Associates , PSC Family CurrentSince May 28, 2023 Accepting new patients
Mogo Urgent Care CurrentSince Jul 1, 2023 Accepting new patients
Carefirst Urgent Care, LLC Past Accepting new patients
Dispatchhealth NV Wagner PC Past Accepting new patients
Dispatchhealth Advanced Care - Washington PC PastSince Oct 21, 2020 Accepting new patients
Sandeep Kapoor, PLLC Family Past Accepting new patients
True North Health Navigation LLC Past Accepting new patients
Professional Portable Radiologic Services Inc. Past Accepting new patients

Locations

5735 Sunrise Blvd
Citrus Hts, CA 95610

604 E Huntington Dr
Ste B
Monrovia, CA 91016

2020 Del Monte Ave
Ste B
Monterey, CA 93940
Phone (831) 622-6930

720 Carnegie Dr
Ste 140
San Bernardino, CA 92408

4719 Viewridge Ave
Ste 130
San Diego, CA 92123
Phone (303) 500-1815

140 Centennial Way
Tustin, CA 92780
Phone (706) 315-2523

3825 N Lafayette St
Denver, CO 80205
Phone (303) 505-1518

3827 N Lafayette St
Denver, CO 80205
Phone (303) 898-9230

2225 W Harrison St
Ste 100
Chicago, IL 60612
Phone (773) 739-6706

980 N Michigan Ave
Ste 1400
Chicago, IL 60611
Phone (312) 214-3605

10100 Dixie Hwy
Louisville, KY 40272
Phone (502) 637-1005

1505 S 7th St
Louisville, KY 40208
Phone (502) 637-1005

2406 W Broadway
Louisville, KY 40211
Phone (502) 775-1211

7926 Preston Hwy
Ste 103
Louisville, KY 40219
Phone (502) 309-9811

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1881021590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 STANLEY GAULT PKWY STE 129",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235176",
            "telephone_number": "502-253-4900",
            "fax_number": "502-489-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 DIXIE HWY STE 6",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402581007",
            "telephone_number": "502-271-3236",
            "fax_number": "502-271-3356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 LYNN WAY",
            "address_purpose": "LOCATION",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402226552",
            "country_code": "US",
            "telephone_number": "502-426-4513",
            "fax_number": "502-426-7041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "KRYSTAL",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.