Individual Healthcare Provider
Tara Cooke, CRNP
Provider's NPPES record last updated: December 12, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1124684717
- Primary Specialty
- Nurse Practitioner — Gerontology
- Practice Location
- York, Pennsylvania
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 2:12 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Gerontology
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LG0600X Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Taxonomy code 363L00000XFamily Medicine
Allopathic & Osteopathic Physicians
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Taxonomy code 207Q00000X
Provider-Reported License Information
- Nurse Practitioner (Pennsylvania)
- SP020470
- Nurse Practitioner (Pennsylvania)
- RN664671
- Family Medicine (Pennsylvania)
- SP020470
Practice Locations
Practice Location
25 Monument Rd Ste 105
York, Pennsylvania 17403-5049
Phone: (717) 267-6427
Additional Practice Location
455 S Washington St Ste 12
Gettysburg, Pennsylvania 17325-2516
Phone: (717) 339-2875
Fax: (717) 334-3921
Additional Practice Location
2149 S Queen St
York, Pennsylvania 17403-4845
Phone: (717) 356-4460
Fax: (717) 260-3326
Additional Practice Location
4050 N George Street Ext
Manchester, Pennsylvania 17345-9347
Phone: (717) 356-4370
Fax: (717) 260-3316
Additional Practice Location
100 Eisenhower Dr Ste 360
Hanover, Pennsylvania 17331-5241
Phone: (717) 646-4201
Fax: (717) 646-4202
Additional Practice Location
101 W Airport Rd
Lititz, Pennsylvania 17543-9274
Phone: (717) 466-2445
Fax: (717) 466-2447
Additional Practice Location
96 Sofia Dr Ste 208
Shrewsbury, Pennsylvania 17361-5201
Phone: (717) 812-2400
Fax: (717) 812-3005
Additional Practice Location
2250 E Market St
York, Pennsylvania 17402-2857
Phone: (717) 851-1566
Fax: (717) 812-3950
Additional Practice Location
717 Town Center Dr
York, Pennsylvania 17408-4824
Phone: (717) 356-4240
Fax: (717) 356-4241
Additional Practice Location
9 Nathan Ln
Annville, Pennsylvania 17003-6500
Phone: (717) 639-3350
Fax: (717) 303-3546
Additional Practice Location
446 N Reading Rd
Ephrata, Pennsylvania 17522-9802
Phone: (717) 738-5275
Fax: (717) 738-5278
Record Information
- Enumeration Date
- May 20, 2019
- Provider's NPPES Record Last Updated
- December 12, 2025
- Certification Date
- December 12, 2025
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue