ROBERTA SPENCER COOK (NPI# 1902198351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902198351 |
| Entity Type | Individual |
| Full Name | ROBERTA SPENCER COOK |
| Credential | M.D. |
| Practice Address |
108 Park Ave Banner Elk NC 28604-6604 |
| Mailing Address |
Po Box 278 Banner Elk NC 28604-0278 |
| Practice Telephone | 8288986258 |
| Practice Fax Number | 8288986259 |
| Mailing Telephone | 8288986258 |
| Mailing Fax Number | 8288986259 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 96-01582 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417509423 | Roberta L Cook | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2019-07-10 |
| 1902075948 | Roberta Lynn Cook | Nurse Practitioner | 1001 Lakeside Ave E, Suite 1000, Cleveland, OH 44114-1158 | 2008-02-25 |
| 1871533919 | Roberta Joan Cook | Nurse Practitioner | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-06-07 |
| Street Address |
108 PARK AVE |
| City | BANNER ELK |
| State | NC |
| Zip Code | 28604-6604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720618465 | Blue Ridge Medical Management Corporation | Clinic/Center | 108 Park Ave, Banner Elk, NC 28604-6604 | 2020-01-22 |
| 1396254868 | Avery Adult and Family Medicine Pllc | Clinic/Center | 108 Park Ave, Banner Elk, NC 28604-6604 | 2017-09-27 |
| 1750654851 | Blue Ridge Family Health Care Plus | Nurse Practitioner | 108 Park Ave, Banner Elk, NC 28604-6604 | 2012-02-21 |
| 1104110279 | Roberta Cook | Clinic/Center | 108 Park Ave, Banner Elk, NC 28604-6604 | 2011-06-06 |
| 1477538080 | Steven Henry Cook | Family Medicine | 108 Park Ave, Banner Elk, NC 28604-6604 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184194755 | William H Burrow Dds Pllc Dba High Country Dental Associates | Clinic/Center | 2043 Tynecastle Highway, Banner Elk, NC 28604 | 2018-11-27 |
| 1699268953 | Barium Springs Home for Children | Community/Behavioral Health | 158 Grandfather Home Drive Bldg 2, Banner Elk, NC 28604 | 2018-06-12 |
| 1578973996 | Grandfather Home for Children, Inc. | Community Based Residential Treatment Facility, Mental Illness | 158 Grandfather Home Drive, Banner Elk, NC 28604 | 2014-05-07 |
| 1134417314 | Grandfather Home for Children, Inc. | Community Based Residential Treatment Facility, Mental Illness | 233 Grandfather Home Dr., Banner Elk, NC 28604 | 2011-07-21 |
| 1841598745 | Ivan Smith | Pharmacist | 4059 Nc Hwy 105, Rite Aid Pharmacy, Sugar Mountain, NC 28604 | 2011-03-02 |
| 1043515679 | Grandfather Home for Children, Incorporated | Community/Behavioral Health | 64 Grandfather Home Drive, Banner Elk, NC 28604 | 2011-01-12 |
| 1710133012 | Stephanie Knowles | Social Worker | 158 Grandfather Home for Children Way, Hickory Nut Gap Road, Banner Elk, NC 28604 | 2008-08-18 |
| 1235313909 | Dennis Robert Blair | Respiratory Therapist, Registered | 335 Leslie Ln, Banner Elk, NC 28604 | 2007-12-18 |
| 1780867291 | Robert Jones | Spec/Tech, Cardiovascular | 28 Wildcat Creek Lane, Banner Elk, NC 28604 | 2007-12-07 |
| 1730308172 | Erling L Fredrickson | Social Worker | 158 Grandfather Home Way, Hickory Nut Gap Rd., Banner Elk, NC 28604 | 2007-04-24 |
| Find all providers in zip 28604 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1215595566 | Kayla L Torrez Chang | General Practice | Mcmh Fc 308, Hm Smith Boulevard, Camp Lejeune, NC 28547 | 2019-06-02 |
| 1972161503 | Shanda Nicole Felton | General Practice | 8 Durbin Pl, Durham, NC 27705-6127 | 2019-05-29 |
| 1437613171 | Sme South Carolina P.C. | General Practice | 212 Cape August Pl, Belmont, NC 28012-6768 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
| City | BANNER ELK |
| Zip Code | 28604 |
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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.