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COOK FAMILY PRACTICE INC
NPI 1497302988
Nurse Practitioner - Family in Kingman, AZ

Active since August 20, 2019CLIA 03D2170991 · Waiver
2331 HUALAPAI MOUNTAIN RD STE C, KINGMAN, AZ 86401(928) 565-6655(855) 822-3328 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2019, Aug 22, 2019 (2 updates tracked since 2019).

About Cook Family Practice Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COOK FAMILY PRACTICE INC (NPI 1497302988) is a healthcare organization registered as a family in Kingman, Arizona and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through August 21, 2027 and lists Karrie Ann Cook, President / Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1497302988
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOOK FAMILY PRACTICE INC
Location Address2331 HUALAPAI MOUNTAIN RD STE CKingman, AZ 86401-6207
Mailing Address2331 Hualapai Mountain Rd Ste CKingman, AZ 86401-6207 · (928) 565-6655 · Fax (928) 565-6578
Phone(928) 565-6655
Fax(855) 822-3328
Organization SubpartNo
Authorized OfficialKarrie Ann CookPresident / Nurse Practitioner · (928) 565-6655
Enumeration DateAugust 20, 2019
Last NPPES UpdateMarch 16, 20222 updates tracked since enumeration
NPPES CertifiedMarch 16, 2022
✔ NPI 1497302988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
2331 HUALAPAI MOUNTAIN RD STE C, Kingman, AZ 86401
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2170991

Cook Family Practice, Inc · Kingman, AZ
Active · expires Aug 21, 2027
CLIA Number03D2170991
Laboratory TypePractitioner Other
Certificate Effective DateAugust 22, 2025
Certificate Expiration DateAugust 21, 2027
Laboratory DirectorKarrie A. Cook
Laboratory Phone(928) 565-6655
Laboratory LocationCook Family Practice, Inc2331 Hualapai Mountain Rd Ste C, Kingman, AZ 86401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARRIE ANN COOK NP
Nurse Practitioner (Family)
2331 HUALAPAI MOUNTAIN RD STE C
KINGMAN, AZ 86401
Mohave County (928) 565-6655
GINA MARIE KRISTIANSEN
Nurse Practitioner (Family)
2331 HUALAPAI MOUNTAIN RD STE C
KINGMAN, AZ 86401
Mohave County (928) 565-6655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cook Family Practice Inc's NPI number?

The NPI number for Cook Family Practice Inc is 1497302988. It was assigned to this organization in the NPPES registry on August 20, 2019.

Where is Cook Family Practice Inc located?

Cook Family Practice Inc is located at 2331 Hualapai Mountain Rd Ste C, Kingman, AZ 86401. The listed phone number is (928) 565-6655.

What is Cook Family Practice Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Cook Family Practice Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2170991) is associated with this NPI, valid through August 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cook Family Practice Inc was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.