DOMONIQUE J COOK — NPI 1467050864 (Licensed & Credentialed Technician, Personal Care Attendant in MOUNT HOPE, WV)

CMS-1500 Box 24J / 33a • NPI

1467050864

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

3747P1801X

Licensed & Credentialed Technician, Personal Care Attendant

Box 32 Service Location & ZIP+4

203 OAKMONT WAY, MOUNT HOPE, WV, 25880-9492

✓ 9-Digit EDI 837 ZIP+4 (25880-9492)

Practice Phone & Referral Fax

(304) 860-9527

Direct NPPES Verification Line

⚠️ HHS OIG LEIE FEDERAL EXCLUSION ALERT: NPI 1467050864 matches an active entry in the HHS Office of Inspector General List of Excluded Individuals/Entities (Sec. 1128(a)(1) — Conviction of Program-Related Crimes (Mandatory 5-Yr Min) — Effective 2024-01-18). Verify before submitting Medicare/Medicaid claims.

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1467050864` (NPI-1 Individual Practitioner)
Provider / Legal Name	DOMONIQUE J COOK
Plain-English Specialty	Licensed & Credentialed Technician, Personal Care Attendant NUCC Code: `3747P1801X` (Technician, Personal Care Attendant)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	203 OAKMONT WAY, MOUNT HOPE, WV, 25880-9492
Practice Telephone / Fax	Tel: (304) 860-9527
Administrative Mailing Address	203 OAKMONT WAY, MOUNT HOPE, WV, 25880-9492
Enumeration & Last Sync	Enumerated: 2020-10-16 \| CMS Record Updated: 2023-01-09

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

203 OAKMONT WAY, MOUNT HOPE, WV, 25880-9492

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Plain-English Taxonomy & CMS Crosswalk (3747P1801X)

What Does Taxonomy Code 3747P1801X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3747P1801X translates to:
"Licensed & Credentialed Technician, Personal Care Attendant"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Technician, Personal Care Attendant for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (DOMONIQUE J COOK)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`3747P1801X` — Technician, Personal Care Attendant Plain English: Licensed & Credentialed Technician, Personal Care Attendant	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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DOMONIQUE J COOK (NPI #1467050864)