Pamela Jo Cook, ARNP-C
Individual provider Active NPI Women's Health Nurse Practitioner · Wauchula, FL
NPI 1891713871 · NPPES record last updated Dec 2, 2020
Key facts
- NPI
- 1891713871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- ARNP9231147 (FL)
- Practice address
- 121 K D Revell Rd
Wauchula, FL 33873-2051 - Phone
- (866) 234-8534
- Fax
- (863) 767-0697
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070320000700 | FL | Practitioner - Nurse Practitioner | 1052414554 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Health Care, Inc | Current |
Accepting new patients | |
| Asm Rahman MD LLC | Current |
Accepting new patients | |
| M & D Care, Inc. D/B/a Women'S Health Care | Advanced Practice Midwife | Past |
Accepting new patients |
Locations
950 County Road 17A W
Avon Park, FL 33825
Phone (863) 452-3000
109 W Wall St
Frostproof, FL 33843
Phone (863) 635-4891
305 W Central Ave
Fl Heal
Lake Wales, FL 33853
1129 N Missouri Ave
Lakeland, FL 33805
Phone (863) 413-8600
5050 County Road 472
Oxford, FL 34484
Phone (352) 245-6922
807 Cobb Ct
Wauchula, FL 33873
47 5th St NW
Winter Haven, FL 33881
201 Magnolia Ave SW
Winter Haven, FL 33880
Phone (863) 229-7950
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | ARNP9231147 | FL | Yes |
Addresses
Primary practice location
121 K D Revell Rd
Wauchula, FL 33873-2051
Mailing address
47 5TH St NW
Winter Haven, FL 33881-4672
Phone (866) 234-8534
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Tampa | Direct |
Other providers in Wauchula, FL
- Central Florida Health Care, Inc.
- Alfred Charles
- Richard Michael Cocchieri
- Keith O Coker
- Lanson Brijesh Colaco
- William R Cook
- Andre Corsbie
- Crossings Addiction Services Inc, the
- Brittanie Cruz
- Howard K Cruz
All providers in Wauchula, FL · Women's Health Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.