Active NPI
Julie Ann Cooke, CF-SLP
- Speech-Language Pathologist
- Walla Walla, WA
National Provider Identifier
1053880674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SI60861648
- Practice address
- Providence St. Mary Medical Center
401 W. Poplar St.
Walla Walla, WA 99362 - Phone
- (509) 897-2100
- NPI assigned
- Nov 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SI60861648 | WA | Primary |
Addresses
Primary practice location
Providence St. Mary Medical Center
401 W. Poplar St.
Walla Walla, WA 99362
Mailing address
Providence St. Mary Medical Center
401 W. Poplar St.
Walla Walla, WA 99362
Phone (509) 897-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SI60861648 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1053880674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PROVIDENCE ST. MARY MEDICAL CENTER",
"address_2": "401 W. POPLAR ST.",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "99362",
"telephone_number": "509-897-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PROVIDENCE ST. MARY MEDICAL CENTER",
"address_2": "401 W. POPLAR ST.",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "99362",
"telephone_number": "509-897-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOKE",
"first_name": "JULIE",
"middle_name": "ANN",
"credential": "CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-14",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "SI60861648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.