Active NPI
Shantoria Lashawn Cooks, APRN
- Family Nurse Practitioner
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11025957
- Practice address
- 1810 Mondrian Cir
Winter Park, FL 32789 - Phone
- (386) 295-7898
- NPI assigned
- Jun 26, 2023
- Last updated
- Jun 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11025957 | FL | Primary |
Addresses
Primary practice location
1810 Mondrian Cir
Winter Park, FL 32789
Mailing address
1810 Mondrian Cir
Winter Park, FL 32789
Phone (386) 295-7898
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Fort Myers, FL 33905
Phone (888) 402-0202
2777 NE 183Rd St
Aventura, FL 33160-2165
Phone (443) 383-9300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11025957 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Partners Plus PLLC | Current | Accepting new patients | |
| Home Docs | Family | Current | Accepting new patients |
| Primary Care of Oc LLC | Current | Accepting new patients | |
| Primary Care of Orange City LLC | Family | Current | Accepting new patients |
| Chma of FL, PLLC | Current | Accepting new patients | |
| Primary Care of Orange City LLC | Current | Accepting new patients |
Locations
2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014
2875 NE 191st St
Ste 500
Aventura, FL 33180
Phone (305) 725-2548
9160 Forum Corporate Pkwy
Ste 350
Fort Myers, FL 33905
Phone (239) 785-3200
135 E Minnesota Ave
Orange City, FL 32763
Phone (386) 241-0274
1990 Main St
Ste 750
Sarasota, FL 34236
Phone (888) 830-7849
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
Interoperability endpoints
- https://api.platform.athenahealth.com/24896/brand/1/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Aventura, FL
- NPI 1912581653
-
- Family Nurse Practitioner
- Orange City, FL
- NPI 1518347038
-
- Family Medicine Physician
- Orange City, FL
- NPI 1790541456
-
- Family Medicine Physician
- Orange City, FL
- NPI 1831615087
-
dba Home Wound Care Florida
- Nurse Practitioner
- Orange City, FL
- NPI 1972249530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1881370864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 MONDRIAN CIR",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32789",
"telephone_number": "386-295-7898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 MONDRIAN CIR",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "32789",
"telephone_number": "386-295-7898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOKS",
"first_name": "SHANTORIA",
"middle_name": "LASHAWN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-26",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11025957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.