Provider Demographics
NPI:1801683743
Name:COOK, YESENIA ROCHELLE
Entity type:Individual
Prefix:
First Name:YESENIA
Middle Name:ROCHELLE
Last Name:COOK
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5751 E HACIENDA AVE UNIT 132
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89122-0240
Mailing Address - Country:US
Mailing Address - Phone:626-393-8098
Mailing Address - Fax:
Practice Address - Street 1:5751 E HACIENDA AVE UNIT 132
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89122-0240
Practice Address - Country:US
Practice Address - Phone:626-393-8098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator