MRS. JACQUALINE M TERRILL COOKE (NPI# 1285698555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285698555 |
Entity Type | Individual |
Full Name | MRS. JACQUALINE M TERRILL COOKE |
Credential | CNM FNP |
Practice Address |
320 Se Baker St Mcminnville OR 97128-6038 |
Practice Telephone | 5034743600 |
Practice Fax Number | 5034743601 |
Mailing Telephone | 5034743600 |
Mailing Fax Number | 5034743601 |
Enumeration Date | 2006-04-13 |
Last Update Date | 2014-10-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WG0000X |
Registered Nurse Specialization: General Practice |
200040704RN | OR | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
200350072NPFNPPP | OR | Physician Assistants & Advanced Practice Nursing Providers |
N | 367A00000X | Advanced Practice Midwife | 200450066NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 233427 | 05 |
Street Address |
320 SE BAKER ST |
City | MCMINNVILLE |
State | OR |
Zip Code | 97128-6038 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699279513 | Sunrise Family Clinic, LLC | Nurse Practitioner | 320 Se Baker St, Mcminnville, OR 97128 | 2018-03-23 |
1639627219 | Lisa Christine Bingham | Registered Nurse | 320 Se Baker St, Mcminnville, OR 97128-6038 | 2016-09-13 |
1891051058 | Noelle Christine Mclaughlin | Nurse Practitioner | 320 Se Baker St, Mcminnville, OR 97128 | 2012-04-02 |
1912201740 | Tracy Michelle Brunette | Nurse Practitioner | 320 Se Baker St, Mcminnville, OR 97128-6038 | 2011-01-09 |
1477740710 | Mcminnville Obstetrics & Gynecology LLC | Advanced Practice Midwife | 320 Se Baker St, Mcminnville, OR 97128-6038 | 2007-10-01 |
1285728246 | George T Barker | Obstetrics & Gynecology | 320 Se Baker St, Mcminnville, OR 97128-6038 | 2006-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
Find all providers in zip 97128 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982089157 | Tinera Hutchins-conry | Nurse Practitioner | 1589 Sparta St Ste 100, Mcminnville, TN 37110-1392 | 2015-07-29 |
1649603135 | Elizabeth Ann Wilder | Nurse Practitioner | 140 Vo Tech Dr., Mcminnville, TN 37110-1390 | 2013-08-20 |
1992045249 | Whitney Shea Blankenship | Nurse Practitioner | 231 Northgate Dr Ste 102, Mcminnville, TN 37110-1436 | 2013-02-24 |
1063560217 | Kathleen Gregory | Nurse Practitioner | 130 Nw 6th St, Suite A, Mcminnville, OR 97128-5582 | 2007-01-06 |
1922055896 | Sherry Kinkade | Nurse Practitioner | 155 Health Way Ste 1, Mcminnville, TN 37110-2668 | 2006-05-27 |
1205803822 | Melissa Dawn Cook | Nurse Practitioner | 412 Ne Ford St., Mcminnville, OR 97128 | 2006-03-02 |
1548265820 | Stephanie Harper Potts | Nurse Practitioner | 627 Ne Evans St, Mcminnville, OR 97128 | 2005-06-14 |
1497376552 | Anna Ledbetter | Nurse Practitioner | 236 E Main St, Mcminnville, TN 37110-2508 | 2020-04-29 |
1336792621 | Heather Robbins | Nurse Practitioner | 306 N Chancery St, Mcminnville, TN 37110-2048 | 2019-07-16 |
1669032975 | Faith Margaret Purvis | Nurse Practitioner | 2435 Ne Cumulus Ave, Mcminnville, OR 97128-8805 | 2019-06-18 |
Find all providers in MCMINNVILLE |
City | MCMINNVILLE |
Zip Code | 97128 |
Please comment or provide details below to improve the information on MRS. JACQUALINE M TERRILL COOKE.
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.