CHANTELLE P COOK (NPI# 1114127248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114127248 |
| Entity Type | Individual |
| Full Name | CHANTELLE P COOK |
| Credential | ARNP |
| Practice Address |
4411 W Gore Blvd A2 Lawton OK 73505-5977 |
| Mailing Address |
Po Box 785 Lawton OK 73502 |
| Practice Telephone | 5803550575 |
| Practice Fax Number | 5802481725 |
| Mailing Telephone | 5803579984 |
| Mailing Fax Number | 5803573277 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2009-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R0079160 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200124110A | 05 |
| Street Address |
4411 W GORE BLVD A2 |
| City | LAWTON |
| State | OK |
| Zip Code | 73505-5977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295729929 | Ivanka A Vassileva | Family Medicine | 4411 W Gore Blvd, Ste B10, Lawton, OK 73505-5977 | 2005-09-08 |
| 1891195590 | Comanche County Healthcare Corporation | Nurse Practitioner | 4411 W Gore Blvd, Suite A2, Lawton, OK 73505-6016 | 2014-08-29 |
| 1003151739 | Niina Irene Tucker | Behavioral Analyst | 4411 W Gore Blvd, Lawton, OK 73505-5977 | 2012-12-06 |
| 1659624427 | Sammie Lea Forrester | Counselor | 4411 W Gore Blvd, Lawton, OK 73505-5977 | 2012-10-18 |
| 1801151097 | Maurice Demarco Horton | Counselor | 4411 W Gore Blvd, Ste B8, Lawton, OK 73505-5977 | 2012-07-12 |
| 1699037820 | Oak Tree Counseling Services | Behavioral Analyst | 4411 W Gore Blvd, Lawton, OK 73505-5977 | 2012-06-13 |
| 1225398332 | Bernice Jaria | Counselor | 4411 W Gore Blvd, Suite B8, Lawton, OK 73505-5977 | 2012-05-22 |
| 1922365725 | Verneka Eaoshea Bullard | Social Worker | 4411 W Gore Blvd, Suite B8, Lawton, OK 73505-5977 | 2012-04-18 |
| 1346545944 | Francois J Du Toit, Md, LLC | Family Medicine | 4411 W Gore Blvd, B6, Lawton, OK 73505-5977 | 2011-01-13 |
| 1902058050 | Amber Leigh Morrow | Nurse Practitioner | 4411 W Gore Blvd, Suite A2, Lawton, OK 73505-6016 | 2008-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744006 | Angela Janell Smith | Case Manager/Care Coordinator | 4904 Nw Smith Ave, Lawton, OK 73505 | 2020-06-16 |
| 1295383990 | Akeemia Lorene Holder | Case Manager/Care Coordinator | Youth Care of Oklahoma, 713 Sw C Avenue, OK 73505 | 2019-08-27 |
| 1225685480 | Healthstat Onsite Clinic Goodyear Vision Center | Preventive Medicine | 1 Goodyear Blvd, Lawton, OK 73505 | 2019-08-22 |
| 1891285300 | Michael Anthony Gray | Case Manager/Care Coordinator | 2218 Nw 36th St, Lawton, OK 73505 | 2018-05-10 |
| 1841797362 | Adeshola T Fatuyi | Case Manager/Care Coordinator | 7301 Sw Lee 635, Lawton, OK 73505 | 2018-04-11 |
| 1912425539 | Heather Shea Morefield | Case Manager/Care Coordinator | 2712 Sw H Ave, Lawton, OK 73505 | 2017-09-04 |
| 1972031367 | Burke Hendricks | Emergency Medicine | 3401 West Gore Boulevard, Lawton, OH 73505 | 2017-05-30 |
| 1932642279 | Helery Vance | Peer Specialist | 1420 Nw Hunter Rd Apt C7, Lawton, OK 73505 | 2016-11-18 |
| 1629523436 | Sebrina Sheppard | Case Manager/Care Coordinator | 3907 Sw Parkridge Blvd., Lawton, OK 73505 | 2016-08-22 |
| 1376913590 | David Lee Atauvich | Registered Nurse | 1515 Lawrie Rd, Lawton, OK 73505 | 2015-09-30 |
| Find all providers in zip 73505 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414628 | Kimberly Noelle Hanley | Nurse Practitioner | 4411 W Gore Blvd Ste A, Lawton, OK 73505-6016 | 2020-07-08 |
| 1871133835 | Jeannie Marie Wyrick | Nurse Practitioner | 1805 Nw Arlington Ave, Lawton, OK 73507-6310 | 2020-01-07 |
| 1780234690 | Candace Michelle Flournoy | Nurse Practitioner | 3201 W Gore Blvd Ste 103, Lawton, OK 73505-6350 | 2019-09-13 |
| 1073071940 | Kimberly Ann Turnipseed | Nurse Practitioner | 6104 Nw Williams Ave, Lawton, OK 73505-1320 | 2019-03-08 |
| 1962980631 | Piettra Santos Alves | Nurse Practitioner | 5606 Sw Lee Blvd Ste 301, Lawton, OK 73505-9618 | 2018-08-03 |
| 1639670649 | Isabelle Zlatnik | Nurse Practitioner | 4411 W Gore Blvd Ste B1, Lawton, OK 73505-5977 | 2018-02-25 |
| 1932627387 | Tonya Bardsher | Nurse Practitioner | 916 Sw 38th St Ste D, Lawton, OK 73505-7005 | 2017-09-06 |
| 1063882140 | Theleka Williams | Nurse Practitioner | 6744 Nw Cache Rd, Lawton, OK 73505-2702 | 2015-10-01 |
| 1255708012 | Shannon Ballou | Nurse Practitioner | 3811 W Gore Blvd Ste 6, Lawton, OK 73505-6328 | 2015-08-27 |
| 1437553252 | Ada Diann Johnson | Nurse Practitioner | 5050 Sw Lee Blvd, Lawton, OK 73505 | 2014-10-22 |
| Find all providers in LAWTON | ||||
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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.