Provider Demographics
NPI:1124712799
Name:COOKE, TAMARA LOUISE (AAS, BA)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:LOUISE
Last Name:COOKE
Suffix:
Gender:F
Credentials:AAS, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3717 HANSBERRY CT NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-3841
Mailing Address - Country:US
Mailing Address - Phone:202-271-1225
Mailing Address - Fax:
Practice Address - Street 1:3717 HANSBERRY CT NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-3841
Practice Address - Country:US
Practice Address - Phone:202-271-1225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist
No376J00000XNursing Service Related ProvidersHomemaker
No226000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreational Therapist Assistant
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion