ANNETTA JEAN COOKE (NPI# 1043445117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043445117 |
| Entity Type | Individual |
| Full Name | ANNETTA JEAN COOKE |
| Credential | RD |
| Practice Address |
1055 Clarksville St Suite 140 Paris TX 75460-6097 |
| Practice Telephone | 9037831131 |
| Practice Fax Number | 9037831186 |
| Mailing Telephone | 9037831131 |
| Mailing Fax Number | 9037831186 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT03646 | TX | Dietary & Nutritional Service Providers |
| Street Address |
1055 CLARKSVILLE ST SUITE 140 |
| City | PARIS |
| State | TX |
| Zip Code | 75460-6097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982319 | Gordon Bertram Strom Jr. | Specialist | 1055 Clarksville St, Ste 195, Paris, TX 75460-6097 | 2005-06-20 |
| 1164963088 | Candice Daughtrey | Nurse Practitioner | 1055 Clarksville St, Paris, TX 75460-6097 | 2017-03-10 |
| 1932438165 | Richard Bercher Md Pa | Family Medicine | 1055 Clarksville St, Suite 200, Paris, TX 75460-6097 | 2009-12-17 |
| 1598999062 | Esther Orieaku Iheukwumere | Internal Medicine | 1055 Clarksville St, Suite 160, Paris, TX 75460-6097 | 2009-05-12 |
| 1649412214 | Diabetrx Care | Dietitian, Registered | 1055 Clarksville St, Suite 140, Paris, TX 75460-6097 | 2009-03-29 |
| 1407067267 | Michael D. Brown, Jr., D.o., Pa | Surgery | 1055 Clarksville St, Suite 155, Paris, TX 75460-6097 | 2007-05-24 |
| 1992910731 | Ted Mclemore, M.d., Ph.d. P A | Specialist | 1055 Clarksville St, 110, Paris, TX 75460-6097 | 2007-05-14 |
| 1427101765 | Michael Dewayne Brown Jr. | Surgery | 1055 Clarksville St, Suite 155, Paris, TX 75460-6097 | 2007-01-19 |
| 1134203458 | Syed J Mahdi | Internal Medicine | 1055 Clarksville St, Ste 185, Paris, TX 75460-6097 | 2006-10-24 |
| 1720090152 | Rafael Salas Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1055 Clarksville St, Suite 170, Paris, TX 75460-6097 | 2006-08-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574409 | Patrick Hayden Tomlinson | Pharmacist | 707 Lamar Ave Suite A, Paris, TX 75460 | 2020-09-25 |
| 1053938530 | King Vision of Tyler LLC | Hospice Care, Community Based | 2555 Ruby Way 8102, Paris, TX 75460 | 2020-06-30 |
| 1376013946 | Kristi Marie Holden | In Home Supportive Care | 1320 27th Ne, Paris, TX 75460 | 2018-11-27 |
| 1316422629 | Md Consultative Services, LLC | Family Medicine | 3310 Lamar Avenue, Suite A, Paris, TX 75460 | 2018-10-02 |
| 1386123941 | Luz Elena Luna | Licensed Vocational Nurse | 11245 15 St Se, Paris, TX 75460 | 2018-08-14 |
| 1255821369 | Paris Speech Pathology Clinic, Pllc | Speech-Language Pathologist | 2404 Lamar Ave, Paris, TX 75460 | 2018-05-14 |
| 1083127054 | Conway Counseling, LLC | Counselor | 2654 Lamar Ave., 1, Paris, TX 75460 | 2017-11-13 |
| 1851803373 | Paris Wellness Center & Medical Spa | Family Medicine | 1122 E. Austin St., Paris, TX 75460 | 2017-10-25 |
| 1053863357 | Medprime Health Services LLC | Pharmacy | 3310 Lamar Ave Ste B, Paris, TX 75460 | 2016-11-03 |
| 1386098523 | Nikki Goodale | Occupational Therapist | 2710 E Price St, Paris, TX 75460 | 2016-04-13 |
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| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013149509 | Stacha Leann Mcfarland | Dietitian, Registered | 131 Haymont Cir, Paris, TN 38242-5608 | 2009-08-17 |
| 1437664984 | Kara Wilcoxon | Dietitian, Registered | 721 E Court St, Paris, IL 61944-2460 | 2017-12-06 |
| 1043501315 | Kimberly Dempsey | Dietitian, Registered | 301 Tyson Ave, Paris, TN 38242-4544 | 2011-04-21 |
| 1649412214 | Diabetrx Care | Dietitian, Registered | 1055 Clarksville St, Suite 140, Paris, TX 75460-6097 | 2009-03-29 |
| 1801061304 | Thomas Sydney Johnston | Dietitian, Registered | 820 Clarksville St, Paris, TX 75460-6098 | 2008-04-25 |
| 1447436530 | Cheryl M. Marx | Dietitian, Registered | 9 Linville Dr, Paris, KY 40361-2129 | 2008-01-18 |
| 1245456888 | Brenda L Burrier | Dietitian, Registered | 341 E Main St, Paris, KY 40361-2116 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902637 | Allison Kleppe | Dietitian, Registered | 6255 Oram St Apt 106, Dallas, TX 75214-3985 | 2020-11-08 |
| 1326649088 | Mitzie Rojas | Dietitian, Registered | 1805 Aquarena Springs Dr Apt 505, San Marcos, TX 78666-8164 | 2020-11-07 |
| 1912507971 | Wendy Snowden | Dietitian, Registered | 11223 Kingsgate Dr, Austin, TX 78748-3435 | 2020-10-29 |
| 1720687718 | Jordan Wright | Dietitian, Registered | 2900 N Braeswood Blvd Apt 6204, Houston, TX 77025-2367 | 2020-10-20 |
| 1891393062 | Melanie Thomas | Dietitian, Registered | 4722 Pickridge Ct, Fresno, TX 77545-7529 | 2020-10-11 |
| 1073110318 | Mary Elizabeth Santarosa Mahoney | Dietitian, Registered | 1322 Cotulla Dr, Allen, TX 75013-4639 | 2020-10-08 |
| 1104423797 | Mariam Maaz Eid | Dietitian, Registered | 8421 Etienne Cv, Austin, TX 78759-8201 | 2020-10-06 |
| 1518564467 | Elizabeth Hill | Dietitian, Registered | 6500 Champion Grandview Way Apt 22105, Austin, TX 78750-8388 | 2020-10-05 |
| 1215534441 | Maryia Nassonova | Dietitian, Registered | 5740 Airport Fwy, Haltom City, TX 76117-6005 | 2020-10-01 |
| 1366049488 | Ifunanya Onyima | Dietitian, Registered | 2500 Marketplace Dr Apt 536, Waco, TX 76711-2440 | 2020-10-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.