Active NPI
Tracy Cook, LE
- Specialist
- Farmington, CT
National Provider Identifier
1982248902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 000525
- Practice address
- 1533 New Britain Ave Ste 2
Farmington, CT 06032-3378 - Phone
- (860) 678-8200
- Fax
- (860) 678-0368
- NPI assigned
- Nov 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 000525 | CT | Primary |
Addresses
Primary practice location
1533 New Britain Ave Ste 2
Farmington, CT 06032-3378
Mailing address
1533 New Britain Ave Ste 2
Farmington, CT 06032-3378
Phone (860) 678-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000525 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572652800000",
"number": "1982248902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1533 NEW BRITAIN AVE STE 2",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060323378",
"telephone_number": "860-678-8200",
"fax_number": "860-678-0368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1533 NEW BRITAIN AVE STE 2",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060323378",
"telephone_number": "860-678-8200",
"fax_number": "860-678-0368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "TRACY",
"credential": "LE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-02",
"last_updated": "2019-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "000525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.