Phyllis M Cook, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2277750 Issued in MA

Practice address

400 Stanley St
Fall River, MA 02720-6009

Phone

(508) 675-1054

Fax

(508) 324-7777

NPI assigned

Dec 9, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stanley Street Treatment and Resources, IncGroup PAC ID 0244129542, 30 clinicians

Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074
• Saint Anne's Hospital Hospital, Fall River, MA, CCN 220020

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: phyllis.cook@direct.sstar.nextgenshare.com

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.

• Stanley Street Treatment and Resources, Inc.

  • Substance Abuse Rehabilitation Facility
  • Fall River, MA
  • NPI 1689693343
  Medicare reassignment Care Compare group NPD
• Southcoast Physicians Group, Inc.

  • Family Medicine Physician
  • Fairhaven, MA
  • NPI 1336137629
  Medicare reassignment Care Compare group
• Stanley Street Treatment and Resources, Inc

  dba SSTAR South End Services

  • Federally Qualified Health Center (FQHC)
  • Fall River, MA
  • NPI 1902176449
  NPD
• Stanley Street Treatment and Resources, Inc

  dba Sstar Integrated Health Services Center

  • Federally Qualified Health Center (FQHC)
  • Fall River, MA
  • NPI 1932838513
  NPD
• MVP Anesthesia Associates, PC

  • Anesthesiology Physician
  • Norwood, MA
  • NPI 1477507598
  NPD (past)
• Stanley Street Treatment and Resources, Inc

  dba Family Healthcare Center at SSTAR

  • Federally Qualified Health Center (FQHC)
  • Fall River, MA
  • NPI 1063438133
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lifespan of Massachusetts - Fall River Inc

  • General Acute Care Hospital
  • Fall River, MA
  • NPI 1972330165
  Care Compare affiliation
• Southcoast Hospitals Group, Inc

  dba Tobey Hospital

  • General Acute Care Hospital
  • Wareham, MA
  • NPI 1922024835
  Care Compare affiliation

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1992136543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 STANLEY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027206009",
            "telephone_number": "508-675-1054",
            "fax_number": "508-324-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 STANLEY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027206009",
            "telephone_number": "508-675-1054",
            "fax_number": "508-324-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "PHYLLIS",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2277750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter A Conrod, PT
• Continuum Care of Mass, LLC (Continuum Care)
• Harold Alexander Contreras Martinez, MD
• Kyle Coogan
• Grace E Cook, NP
• Bettina Cooley-Philip, BA
• Xiomara Cooto
• Cynthia Elise Corbett, LICSW
• Elizabeth Corbett, M. ED, BCBA
• Amanda Lee Cordeiro

• Family Nurse Practitioner in Fall River, MA
• Providers in Fall River, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.