ANDREA COOK (NPI# 1346559846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346559846 |
| Entity Type | Individual |
| Full Name | ANDREA COOK |
| Credential | PA-C |
| Practice Address |
2295 Foothill Dr Salt Lake City UT 84109-4000 |
| Practice Telephone | 8014863021 |
| Practice Fax Number | 8014856339 |
| Mailing Telephone | 8014863021 |
| Mailing Fax Number | 8014856339 |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 77808351206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | PHYSICIAN ASSISTANT LICENSE | 77808351206 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689108375 | Andrea Cook | Assistant Behavior Analyst | 13307 W 96th Ter, Lenexa, KS 66215-1316 | 2017-04-19 |
| 1669892980 | Andrea Cook | Social Worker | 4808 S Elwood Ave Lot 174, Tulsa, OK 74107-8199 | 2014-04-25 |
| 1679729974 | Andrea Gayle Cook | Psychologist | 625 Miramontes St Ste 100d, Half Moon Bay, CA 94019-1942 | 2008-08-18 |
| 1669401006 | Andrea Monique Cook | Specialist/Technologist | 275 Eastland Rd, Berea, OH 44017-2005 | 2006-06-30 |
| 1932751971 | Andrea Cook | Behavioral Analyst | 4908 S Sheridan Rd, Tulsa, OK 74145-5712 | 2019-07-10 |
| 1023541547 | Andrea Cook | Occupational Therapist | 501 N 10th St, Manitowoc, WI 54220-4039 | 2017-04-11 |
| 1336513076 | Andrea Cook | Pharmacist | 1001 Highway 98 Byp, Columbia, MS 39429-3741 | 2015-11-18 |
| 1588909485 | Andrea Lynn Cook | Social Worker | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2012-12-03 |
| 1972749687 | Andrea L Cook | Orthotist | 600 Highland Ave, Compliance Mc 2433, Madison, WI 53792-0001 | 2008-12-30 |
| 1861661191 | Andrea Cook | Pharmacist | 140 N Macdade Blvd, Glenolden, PA 19036-1224 | 2008-02-20 |
| Street Address |
2295 FOOTHILL DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84109-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780615658 | Shana K. Eborn | Family Medicine | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2006-07-06 |
| 1578772109 | Alexander Paul Clark | Family Medicine | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2007-05-21 |
| 1023237088 | Heather A Jackson | Family Medicine | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2007-04-25 |
| 1407947005 | Foothill Clinic, LLC | Family Medicine | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2006-09-27 |
| 1255441481 | Canyon Rim Physical Therapy LLC | Clinic/Center | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2006-08-30 |
| 1689789281 | Stephen M Shupe | Specialist | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2006-08-21 |
| 1023123627 | Dede B Lewis | Specialist | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2006-08-21 |
| 1427062330 | Einat S Green | Physical Therapist | 2295 Foothill Dr, Salt Lake City, UT 84109 | 2006-07-28 |
| 1700811023 | Ross A. Brunetti | Family Medicine | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2006-07-12 |
| 1316962442 | James T. Peterson | Family Medicine | 2295 Foothill Dr, Salt Lake City, UT 84109-4000 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102095 | Aimee Hadfield | Social Worker | Hearten House, 314 W. Broadway #222, Salt Lake City, UT 84109 | 2020-07-23 |
| 1245877448 | Carla Lucile Applegate-anderson | Nurse Practitioner | 2666 South 2000 East, Suite 101, Salt Lake City, UT 84109 | 2019-12-06 |
| 1063991982 | Madison Sanderson | Physical Therapist | 2295 S Foothill Dr Ste 1, Salt Lake City, UT 84109 | 2018-08-10 |
| 1023545951 | Tyler Dale Hanks | Dentist | 2435 E 3300 S, Suite 101, Millcreek, UT 84109 | 2017-05-23 |
| 1992198881 | Cynthia R Thorpe | Marriage & Family Therapist | 2624 East Mount Crest Drive, Salt Lake City, UT 84109 | 2015-03-17 |
| 1104247295 | John Paul Lapine | Dentist | 3865 South 3500 East Ste. 201, Salt Lake City, UT 84109 | 2013-12-17 |
| 1073850301 | Weston J Horne | Massage Therapist | 2760 South 1174 East, Suite 1d, Salt Lake City, UT 84109 | 2013-01-07 |
| 1538415138 | Dominic Falsone | Counselor | 3846 Villa Dr, Salt Lake City, UT 84109 | 2012-08-01 |
| 1487926341 | Richard R Flynn | Pediatrics | 2342 Dallin St., Salt Lake City, UT 84109 | 2012-02-07 |
| 1235449984 | Keyhan Koohgivi | Pharmacist | 2566 East Sage Way, Salt Lake City, UT 84109 | 2010-10-15 |
| Find all providers in zip 84109 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556986 | Brittany Tran | Physician Assistant | 2733 W Redwick Ct, Salt Lake City, UT 84129-5901 | 2020-10-25 |
| 1528674975 | James Christopher Nichols | Physician Assistant | 1746 E 2100 S, Salt Lake City, UT 84106-4165 | 2020-09-21 |
| 1841826971 | David Souza | Physician Assistant | 52 N Medical Dr, Salt Lake City, UT 84132-0001 | 2020-03-20 |
| 1134751902 | Jacie Anna Mundahl | Physician Assistant | 8th Ave C St E 80, Salt Lake City, UT 84143-0001 | 2020-02-10 |
| 1336770544 | Kelsey Rae Thompson | Physician Assistant | 3809 S Parkview Dr, Salt Lake City, UT 84124-2322 | 2020-01-28 |
| 1245885458 | Adam Douglas Whitney | Physician Assistant | 1056 E Harrison Ave, Salt Lake City, UT 84105-2445 | 2019-08-05 |
| 1306498654 | Jarred J Entringer | Physician Assistant | 2725 S 700 E Apt K, Salt Lake City, UT 84106-2883 | 2019-07-16 |
| 1588216840 | Christina Thomas | Physician Assistant | 255 N 400 W Apt 5015, Salt Lake City, UT 84103-1568 | 2019-07-16 |
| 1770135022 | Evar Saelee | Physician Assistant | 2630 E Stringham Ave Apt 224a, Salt Lake City, UT 84109-3945 | 2019-07-16 |
| 1982263471 | Ashley Marten | Physician Assistant | 3610 E Cascade Way, Salt Lake City, UT 84109-2307 | 2019-06-10 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84109 |
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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.