Janette Sue Cooke, is a
Dietitian, Registered based in Mountain Home Afb, Idaho. Janette Sue Cooke is licensed to practice in California (license number 913470) and her current practice location is
90 Hope Dr, Mountain Home Afb, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 828-1238.
NPI number for Janette Sue Cooke is 1497215982 and her current mailing address is 5695 S Pepperview Way, Boise, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497215982.
Healthcare Provider's Profile
| Full Name | Janette Sue Cooke |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
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| Location | 90 Hope Dr, Mountain Home Afb, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497215982
- Provider Enumeration Date: 03/21/2019
- Last Update Date: 12/13/2019
Medical Identifiers
Medical identifiers for Janette Sue Cooke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497215982 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | 913470 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Janette Sue Cooke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Janette Sue Cooke,
5695 S Pepperview Way,
Boise, ID 83709-4978
Ph: (949) 232-6497 | Janette Sue Cooke,
90 Hope Dr,
Mountain Home Afb, ID 83648-1057
Ph: (208) 828-1238 |
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