Cassandra Lee Cook, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

60916494 Issued in WA

Practice address

9838 SE Cornell Rd
Port Orchard, WA 98366-8955

Phone

(210) 878-6366

NPI assigned

Jun 3, 2008

Last updated

Feb 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Sound Speech Pathology, LLC

  • Speech-Language Pathologist
  • Port Orchard, WA
  • NPI 1396493193
  Medicare reassignment NPD Authorized official
• Harbor Speech Pathology, PS

  • Speech-Language Pathologist
  • Gig Harbor, WA
  • NPI 1780917062
  Medicare reassignment NPD

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1336308543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9838 SE CORNELL RD",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983668955",
            "telephone_number": "210-878-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9838 SE CORNELL RD",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983668955",
            "telephone_number": "210-878-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "CASSANDRA",
        "middle_name": "LEE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104057",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "60916494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111408402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annastacia Lee Colton
• Come As You Are Massage Therapy, LLC
• Eileen Mae Comstock
• Margaret A Conley, ARNP
• Brianna Cook, PT, DPT
• Chelsey Nicole Cook
• Ambrlyn Shannon Cooley
• Chandler Elizabeth Cooley
• Jordan M Cooper, RN
• Leandra Cooper, OT

• Speech-Language Pathologist in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.