Amanda M Cook, NP-C

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

NP09208 Issued in OH

Practice address

1326 E Perkins Ave
Sandusky, OH 44870-5025

Phone

(419) 625-0654

Fax

(419) 621-1276

NPI assigned

Dec 19, 2006

Last updated

Sep 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northeast Surgical Wound Care IncGroup PAC ID 7416948153, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Northeast Surgical Wound Care, Inc.

  • Surgery Physician
  • Independence, OH
  • NPI 1649215583
  Medicare reassignment Care Compare group NPD
• United Wound & Vascular Institute Ohio PLLC

  • Family Medicine Physician
  • Independence, OH
  • NPI 1477311959
  Medicare reassignment NPD
• Healing Partners Plus PLLC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1063217545

  OH

  Medicare reassignment NPD
• Infinity Health Care, LLC

  • Nursing Care Agency
  • Westlake, OH
  • NPI 1902851587
  NPD (past)
• Northeast Surgical Associates of Ohio Wound Speciality Services LTD

  • Nurse Practitioner
  • Independence, OH
  • NPI 1073767315
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1982767760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-609-1112",
            "fax_number": "419-609-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 E PERKINS AVE",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705025",
            "telephone_number": "419-625-0654",
            "fax_number": "419-621-1276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 W Strub Rd",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448705390",
            "country_code": "US",
            "telephone_number": "419-626-6891",
            "fax_number": "419-626-8009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "NP09208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO RN LICENSE",
            "identifier": "RN209305",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO LICENSE",
            "identifier": "NP09208",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concord Care Center of Sandusky Inc. (Concord Care and Rehabilitation Center)
• Concord Care Center of Sandusky, Inc. (Concord Care and Rehabilitation Center)
• Thomas R. Conley, D.O.
• Continent Health Company of Sandusky, LLC (Concord Care and Rehabilitation Center)
• Jennifer Lizzette Contreras
• Gregory P Cook, MD
• John Paul Cook Sr., M.D.
• Shannell Cooley, STNA
• Kathleen Frances Cooney, LISW, LICDC
• Marsha D Cooper, MD

• Women's Health Nurse Practitioner in Sandusky, OH
• Providers in Sandusky, OH by specialty
• Women's Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.

Verify at the official NPI Registry.