Healthcare Provider Details

I. General information

NPI: 1467712109
Provider Name (Legal Business Name): KATE COOK R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2012
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

914 N COAST HIGHWAY 101 STE A
ENCINITAS CA
92024-2074
US

IV. Provider business mailing address

914 N COAST HIGHWAY 101 STE A
ENCINITAS CA
92024-2074
US

V. Phone/Fax

Practice location:
  • Phone: 202-932-9958
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number325646
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: