RYAN S COOK APRN NPI 1720478548

NPI Information

NPI: 1720478548
Provider Name: RYAN S COOK, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
540 LINCOLN PARK BLVD
SUITE 200
DAYTON, OH
ZIP 45429
Phone: (937) 298-8058
Get Directions

Ryan S Cook, APRN is a family nurse practitioner in Dayton, OH with 10 years of experience. Ryan S Cook, APRN NPI is 1720478548. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

540 LINCOLN PARK BLVD
SUITE 200
DAYTON, OH
ZIP 45429-401
Phone: (937) 298-8058
Fax: (937) 298-5638

The NPI 1720478548 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/1/2015 and was last updated on 1/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	COA.19092-NP	OHIO	Yes
2	363LF0000X	Nurse Practitioner	Family	3009047	KENTUCKY	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7100338960	MEDICAID	KENTUCKY
2	171432	OTHER	KENTUCKY	SIHO-NICC
3	000000916710	OTHER	KENTUCKY	ANTHEM-NICC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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