Active NPI
Miranda Denise Cook, NP-C
- Family Nurse Practitioner
- San Francisco, CA
National Provider Identifier
1982122024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A120031
- Practice address
- 1 California St Ste 2300
San Francisco, CA 94111-5424 - Phone
- (800) 997-6196
- Fax
- (415) 504-1367
- NPI assigned
- Sep 8, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | A120031 | IA | |
| Family Nurse Practitioner | 363LF0000X | A120031 | IA | Primary |
Addresses
Primary practice location
1 California St Ste 2300
San Francisco, CA 94111-5424
Mailing address
1 California St Ste 2300
San Francisco, CA 94111-5424
Phone (800) 997-6196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A120031 | IA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor on Demand Professionals P C | Current | Accepting new patients | |
| United Community Health Center Inc. | Current | Accepting new patients |
Locations
1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926
505 5th Ave
Ste 729
Des Moines, IA 50309
Phone (305) 596-9040
715 W Milwaukee Ave
Storm Lake, IA 50588
Phone (712) 213-0109
Interoperability endpoints
- miranda.cook.1@30520.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/IGGHAA
- miranda.cook@uchc.directbygreenway.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Storm Lake, IA
- NPI 1043268659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1982122024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CALIFORNIA ST STE 2300",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941115424",
"telephone_number": "800-997-6196",
"fax_number": "415-504-1367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CALIFORNIA ST STE 2300",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941115424",
"telephone_number": "800-997-6196",
"fax_number": "415-504-1367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "MIRANDA",
"middle_name": "DENISE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-08",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IA",
"license": "A120031",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A120031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.