MRS. KIMBERLY E COOK (NPI# 1124051099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124051099 |
| Entity Type | Individual |
| Full Name | MRS. KIMBERLY E COOK |
| Credential | C.R.N.P. |
| Practice Address |
24435 Mervell Dean Rd Hollywood MD 20636-2712 |
| Practice Telephone | 3013732116 |
| Practice Fax Number | 3013735281 |
| Mailing Telephone | 3013732116 |
| Mailing Fax Number | 3013735281 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R134606 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST BCBS | 64804501 | 01 |
| MD | 003982900 | 05 | |
| DC | CAREFIRST BCBS OF DC | 13070005 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104306554 | Kimberly Dawn Cook | Licensed Vocational Nurse | 1200 Clark, Stinnett, TX 79083 | 2018-08-15 |
| 1962753871 | Kimberly Cook | Social Worker | 1222 Catalpa Dr, Royal Oak, MI 48067-1127 | 2012-10-02 |
| 1225210107 | Kimberly S Cook | Registered Nurse | 1845 South Townsend, Montrose, CO 81401 | 2007-12-03 |
| 1841214699 | Kimberly Anne Cook | Pharmacist | 8821 Stage Ford Rd, Raleigh, NC 27615-1828 | 2006-07-26 |
| 1972129633 | Kimberly Cook | Behavior Technician | 8885 Rio San Diego Dr Ste 340, San Diego, CA 92108-1669 | 2020-06-18 |
| 1205465101 | Kimberly Alain Cook | Nurse Practitioner | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-04-03 |
| 1356972327 | Kimberly Rose Cook | Behavioral Analyst | 316 Mid Valley Ctr # 186, Carmel, CA 93923-8516 | 2020-01-29 |
| 1720622368 | Kimberly Cook | Behavioral Analyst | 141 N Eagle Creek Dr Ste 103, Lexington, KY 40509-1832 | 2019-11-06 |
| 1114443447 | Kimberly Cook | Pharmacist | 19 Sawmill Village Ln, Franklin, NC 28734-4753 | 2017-08-18 |
| 1457708042 | Kimberly Cook | Occupational Therapy Assistant | 4100 N Sam Houston Pkwy W Ste 240, Houston, TX 77086-1466 | 2016-05-24 |
| Street Address |
24435 MERVELL DEAN RD |
| City | HOLLYWOOD |
| State | MD |
| Zip Code | 20636-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972591345 | Kenneth Taedo Moon | Family Medicine | 24435 Mervell Dean Rd, Hollywood, MD 20636-2712 | 2005-10-11 |
| 1912360181 | Michelle Munson | Nurse Practitioner | 24435 Mervell Dean Rd, Hollywood, MD 20636-2712 | 2016-04-04 |
| 1821331539 | Laura Zilberman | Nurse Practitioner | 24435 Mervell Dean Rd, Hollywood, MD 20636-2712 | 2013-04-01 |
| 1679710776 | Leena Kosandal | Family Medicine | 24435 Mervell Dean Rd, Hollywood, MD 20636-2712 | 2009-01-12 |
| 1245447465 | Youngsik Moon, M.d., P.a. | General Practice | 24435 Mervell Dean Rd, Hollywood, MD 20636-2712 | 2007-05-17 |
| 1831203215 | Youngsik Moon, M.d., P.a. | Clinic/Center | 24435 Mervell Dean Rd, Hollywood, MD 20636-2712 | 2006-08-19 |
| 1245263193 | Youngsik Moon | Surgery | 24435 Mervell Dean Rd, Hollywood, MD 20636-2712 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841708427 | Lisa Early | Case Manager/Care Coordinator | 24077 John Cameron Way, Hollywood, MD 20636 | 2018-01-17 |
| 1326439365 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 24288 Three Notch Rd., Hollywood, MD 20636 | 2015-02-12 |
| 1972810612 | Kathleen Latona Boyles | Pharmacist | 24288 Three Notch Road, Hollywood, MD 20636 | 2010-09-01 |
| 1386825271 | Vijaya Guduri | Internal Medicine | 24035 Three Notch Road, Shah Associates Md LLC, Hollywood, MD 20636 | 2007-11-19 |
| 1245397678 | St Johns Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 24288 Three Notch Rd, Hollywood, MD 20636 | 2007-01-03 |
| 1194824755 | Julie Wilkening | Chiropractor | 24351 Mervell Dean Rd #115, Hollywood, MD 20636 | 2006-09-21 |
| 1225134281 | Mary Rice Hughes | Registered Nurse | 44101 Airport View Dr., Hollywood, MD 20636 | 2006-09-16 |
| 1376654194 | Suzanne Janis Pelz | Counselor | 44101 Airport View Drive, Hollywood, MD 20636 | 2006-08-31 |
| 1831406883 | Hanna Kristina Dennis | Physician Assistant | 24035 Three Notch Rd, Hollywood, MD 20636 | 2010-09-10 |
| 1750549010 | Iram A Khan | Internal Medicine | 24035 Three Notch Road, Hollywood, MD 20636 | 2008-05-22 |
| Find all providers in zip 20636 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739897 | Vanessa Arias | Nurse Practitioner | 931 S Park Rd Apt 207, Hollywood, FL 33021-8762 | 2020-10-31 |
| 1659979656 | Hendy Aubourg | Nurse Practitioner | 6940 Tyler St, Hollywood, FL 33024-7456 | 2020-10-12 |
| 1811509920 | Cynthia Remy | Nurse Practitioner | 11178 Mainsail Dr, Hollywood, FL 33026-4726 | 2020-08-19 |
| 1487264040 | Jorge Rolando Remon | Nurse Practitioner | 6230 Garfield St, Hollywood, FL 33024-5943 | 2020-08-07 |
| 1922618115 | Alba M Beltran | Nurse Practitioner | 7361 Cleveland St, Hollywood, FL 33024-5463 | 2020-08-03 |
| 1588280630 | Jackelyn Mi Bhattarai | Nurse Practitioner | 11018 Nashville Dr, Hollywood, FL 33026-4966 | 2020-06-24 |
| 1194349308 | Bethany Laquell Ellis | Nurse Practitioner | 210 S Federal Hwy Ste 300, Hollywood, FL 33020-6811 | 2020-06-03 |
| 1255951026 | Nicole Blum | Nurse Practitioner | 4712 Arthur St, Hollywood, FL 33021-4737 | 2020-04-22 |
| 1497383103 | Vanessa D King-smith | Nurse Practitioner | 6660 Meade St, Hollywood, FL 33024-1914 | 2020-03-29 |
| 1538793039 | Lyudmyla Tymtsyas | Nurse Practitioner | 4200 Hillcrest Dr Apt 304, Hollywood, FL 33021-7900 | 2020-02-24 |
| Find all providers in HOLLYWOOD | ||||
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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.