Candice Mignonne Cook, M.ED

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0000003346 Issued in TN

Practice address

602 Tennessee St Ste C
Bolivar, TN 38008-2434

Phone

(888) 507-1113

NPI assigned

Jan 7, 2008

Last updated

Dec 4, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Candice Carter Other name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• All Ways Therapies LLC

  • Speech-Language Pathologist
  • Bolivar, TN
  • NPI 1235590506
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1265617492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 TENNESSEE ST STE C",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380082434",
            "telephone_number": "888-507-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 TENNESSEE ST STE C",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380082434",
            "telephone_number": "888-507-1113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7591 Espie Cv",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381253667",
            "country_code": "US",
            "telephone_number": "901-756-6119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "CANDICE",
        "middle_name": "MIGNONNE",
        "name_prefix": "Ms.",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "0000003346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "CARTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vijaya K Chandel, M.D.
• Satoria Cheairs, BS
• Christian Care Center of Bolivar LLC
• Clark Family Clinic, LLC
• Peggy Clark, LMSW
• Lindsey Hendrix Cook, APRN
• Cornerstone Health Care of Bolivar, Inc. (Pleasant View Health Care Center)
• Beth Anne Cossar
• Rubye Couchoud, APRN
• County of Hardeman (Hardeman County Ambulance Service)

• Speech-Language Pathologist in Bolivar, TN
• Providers in Bolivar, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.

Verify at the official NPI Registry.