Individual provider Active NPI

Kelly Cook, AU.D.

  • Audiologist
  • Norwalk, IA
National Provider Identifier
1467018325
Registry record updated Apr 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
1228 Sunset Dr Ste B
Norwalk, IA 50211-2401
Phone
(515) 981-9893
Fax
(515) 981-9421
NPI assigned
May 16, 2019
Last updated
Apr 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X
Audiologist 231H00000X IA Primary
Assistive Technology Practitioner Audiologist 231HA2400X IA
Assistive Technology Supplier Audiologist 231HA2500X IA
Audiologist-Hearing Aid Fitter 237600000X IA

Addresses

Primary practice location

1228 Sunset Dr Ste B
Norwalk, IA 50211-2401

Mailing address

1228 Sunset Dr Ste B
Norwalk, IA 50211-2401
Phone (515) 981-9893

Other practice location 1

3901 Ingersoll Ave
Des Moines, IA 50312-3505
Phone (515) 274-9136

Other practice location 2

1810 SW White Birch Cir Ste 104
Ankeny, IA 50023-7226
Phone (515) 964-1134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201019001982 IA Practitioner - Qualified Audiologist 1951721638 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Hearing Center, LLC CurrentSince May 1, 2021 Accepting new patients
Stumbaugh Inc CurrentSince May 1, 2021 Accepting new patients
Iowa Head & Neck PC PastSince Jun 24, 2008 Accepting new patients
The Iowa Clinic, PC Past Accepting new patients

Locations

1228 Sunset Dr
Ste B
Norwalk, IA 50211
Phone (515) 981-9208

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619222400000",
    "number": "1467018325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 SUNSET DR STE B",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502112401",
            "telephone_number": "515-981-9893",
            "fax_number": "515-981-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 SUNSET DR STE B",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502112401",
            "telephone_number": "515-981-9893",
            "fax_number": "515-981-9421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Ingersoll Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503123505",
            "country_code": "US",
            "telephone_number": "515-274-9136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1810 SW White Birch Cir Ste 104",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500237226",
            "country_code": "US",
            "telephone_number": "515-964-1134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2021-04-24",
        "certification_date": "2021-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": null,
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.