Individual provider Active NPI

Jennifer Cook, D.C.

  • Chiropractor
  • Okeechobee, FL
National Provider Identifier
1881973477
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10391 Issued in FL
Practice address
208 NE 3Rd Ave
Okeechobee, FL 34972-2961
Phone
(863) 763-4320
Fax
(863) 455-1513
NPI assigned
Aug 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH10391 FL Primary

Addresses

Primary practice location

208 NE 3Rd Ave
Okeechobee, FL 34972-2961

Mailing address

208 NE 3Rd Ave
Okeechobee, FL 34972-2961
Phone (863) 763-4320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111003000682 FL Practitioner - Chiropractic 7416129002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

208 NE 3Rd Ave
Okeechobee, FL 34972-2961
Phone (863) 763-4320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH10391FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Spine & Joint Medical Center LLC CurrentSince Dec 1, 2019 Accepting new patients

Locations

208 NE 3rd Ave
Okeechobee, FL 34972
Phone (561) 296-1188

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1881973477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 NE 3RD AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722961",
            "telephone_number": "863-763-4320",
            "fax_number": "863-455-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 NE 3RD AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722961",
            "telephone_number": "863-763-4320",
            "fax_number": "863-455-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-12",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.