Active NPI
Jodi C Cottrell, AU.D., CCC-A
- Audiologist-Hearing Aid Fitter
- Huntington, WV
National Provider Identifier
1124112297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- A0158
- Practice address
- 1 John Marshall Dr
Huntington, WV 25755-1692 - Phone
- (304) 696-3455
- Fax
- (304) 696-2986
- NPI assigned
- Oct 3, 2006
- Last updated
- Nov 18, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | KY0392 | KY | |
| Audiologist-Hearing Aid Fitter | 237600000X | A0158 | WV | Primary |
Addresses
Primary practice location
1 John Marshall Dr
Huntington, WV 25755-1692
Mailing address
1616 13TH Avenue
Suite 100
Huntington, WV 25701-1692
Phone (304) 522-8800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7402120000 | Medicaid | WV | |
| 70000393 | Medicaid | KY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jodi.cottrell@marshall.cernerdirect.com | ||
| Direct Messaging Address | jodi.cottrell@marshall.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY0392 | KY | MD | Audiologist-Hearing Aid Fitter |
| A0158 | WV | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall University | Current | Accepting new patients |
Locations
1 John Marshall Dr
Huntington, WV 25755
Phone (304) 696-3641
1 John Marshall Dr
#143
Huntington, WV 25755
Phone (304) 696-3641
Interoperability endpoints
- jodi.cottrell@marshall.cernerdirect.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Huntington, WV
- NPI 1407917271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1124112297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 13TH AVENUE",
"address_2": "SUITE 100",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257011692",
"telephone_number": "304-522-8800",
"fax_number": "304-523-4303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JOHN MARSHALL DR",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257551692",
"telephone_number": "304-696-3455",
"fax_number": "304-696-2986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTRELL",
"first_name": "JODI",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "AU.D., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2021-11-18",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "KY",
"license": "KY0392",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WV",
"license": "A0158",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7402120000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "70000393",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jodi.cottrell@marshall.cernerdirect.com",
"affiliation": "N",
"address_1": "1 John Marshall Dr",
"city": "Huntington",
"state": "WV",
"country_code": "US",
"postal_code": "257551692",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jodi.cottrell@marshall.cernerdirect.com",
"affiliation": "N",
"address_1": "1 John Marshall Dr",
"city": "Huntington",
"state": "WV",
"country_code": "US",
"postal_code": "257551692",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.