THEIL L COOKE JR. (NPI# 1790326353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790326353 |
| Entity Type | Individual |
| Full Name | THEIL L COOKE JR. |
| Credential | APRN |
| Practice Address |
20 S. Colvin St Colorado City AZ 86021 |
| Mailing Address |
1599 E Flame Bush St Kingman AZ 86409-9219 |
| Practice Telephone | 9283770629 |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
RN178632 | AZ | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
233616 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3269 N Stockton Hill Rd, Kingman, AZ 864093619 | 9286818678 |
| Street Address |
20 S. COLVIN ST |
| City | COLORADO CITY |
| State | AZ |
| Zip Code | 86021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619504602 | Cherish Families | Voluntary or Charitable | 280 W. Township Ave, Colorado City, AZ 86021 | 2020-03-27 |
| 1003458332 | Bee's Marketplace Corporation | Pharmacy | 80 North Central Street Unit 6 #3323, Colorado City, AZ 86021 | 2019-10-08 |
| 1346721362 | Nathan Daniel Barlow | Physician Assistant | 20 S Colvin St, Colorado City, AZ 86021 | 2018-08-27 |
| 1467989947 | Encompass Health Services, Inc. | Community/Behavioral Health | 60 N. Central, Colorado City, AZ 86021 | 2017-05-16 |
| 1609010511 | Mohave County Dept. of Public Health | Public Health or Welfare | 20 South Colvin, Colorado City, AZ 86021 | 2009-04-22 |
| 1871775676 | Abram Owen Young | Speech-Language Pathologist | 225 N Cottonwood, Colorado City Unified School District #14, Colorado City, AZ 86021 | 2007-12-04 |
| 1790284545 | Colorado City Fire District | Ambulance | 40 South Pioneer St., Colorado City, AZ 86021-0248 | 2018-02-07 |
| 1790001204 | Colorado City Unified School District | Speech-Language Pathologist | 325 North Cottonwood Street, Colorado City, AZ 86021-0309 | 2010-04-09 |
| 1720260698 | Colorado City Unified School | Local Education Agency (LEA) | 255 N Cottonwood Street, Colorado City, AZ 86021-0309 | 2007-12-03 |
| 1386836625 | Colorado City Unified School District #14 | Local Education Agency (LEA) | 325 North Cootonwood Street, Colorado City, AZ 86021-0309 | 2007-08-10 |
| Find all providers in zip 86021 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265500656 | Willow Oak, Inc. | Nurse Practitioner | 1675 S. Berry Knoll Blvd, Colorado City, AZ 86021-1549 | 2006-12-01 |
| 1649227901 | Joanne Charolette Smiley | Nurse Practitioner | 4491 Bent Bros Blvd, Colorado City, CO 81019 | 2006-05-30 |
| 1790294205 | Brandi Leanne Olson | Nurse Practitioner | 4491 Bent Brothers Blvd, Colorado City, CO 81019-9990 | 2017-09-27 |
| 1164799607 | Anna Nell Burton | Nurse Practitioner | 997 W Interstate 20, Colorado City, TX 79512-2685 | 2011-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760921 | Valerie Pong | Nurse Practitioner | 530 Karen Way, Bullhead City, AZ 86442-6177 | 2020-11-03 |
| 1407456783 | Brenna Michelle Clements | Nurse Practitioner | 3226 W Donatello Dr, Phoenix, AZ 85086-2200 | 2020-10-27 |
| 1902406499 | Kimberly Brown | Nurse Practitioner | 4315 N Adams St, Kingman, AZ 86409-2610 | 2020-10-26 |
| 1669071361 | Harmony Clinic and Medspa | Nurse Practitioner | 670 E 32nd St Ste 8, Yuma, AZ 85365-3576 | 2020-10-22 |
| 1528667615 | Elena Eloriaga | Nurse Practitioner | 1925 S Coronado Rd Apt 2133, Gilbert, AZ 85295-2219 | 2020-10-20 |
| 1942809165 | Barbara Powers | Nurse Practitioner | 9251 E Snyder Rd, Tucson, AZ 85749-9443 | 2020-10-19 |
| 1861091175 | Guiding Light Holistic Healthcare | Nurse Practitioner | 9758 S La Rosa Dr, Tempe, AZ 85284-5004 | 2020-10-19 |
| 1598364838 | Ryan Nelson Sutton | Nurse Practitioner | 3719 E Loma Vista St, Gilbert, AZ 85295-4675 | 2020-10-19 |
| 1942808431 | Vera Adell Dujmic | Nurse Practitioner | 10959 E Actinidia St, Tucson, AZ 85747-8862 | 2020-10-15 |
| 1376141184 | Laura E Ahumada | Nurse Practitioner | 3417 N Sand Creek Ct, Tucson, AZ 85745-7126 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO CITY |
| Zip Code | 86021 |
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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.