Deborah Knowles Cook II, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

19788 Issued in TX

Practice address

5528 Old Bullard Rd
Suite 103
Tyler, TX 75703-4362

Phone

(903) 581-5421

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Speech Language and Auditory Learning

  • Speech-Language Pathologist
  • Tyler, TX
  • NPI 1609080613
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467579797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5528 OLD BULLARD RD",
            "address_2": "SUITE 103",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034362",
            "telephone_number": "903-581-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5528 OLD BULLARD RD",
            "address_2": "SUITE 103",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034362",
            "telephone_number": "903-581-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "DEBORAH",
        "middle_name": "KNOWLES",
        "name_prefix": "Mrs.",
        "name_suffix": "II",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "19788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "87896T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Chace Conner, M.D.
• Shana Jean Conover, L.P.C.
• Continuecare Hospital of Tyler, Inc.
• Sareena Contractor, DO
• David Cook, LOTA
• Eben G Cook, CRNA
• Jackie Sharrie Donei Cook, LPC ASSOCIATE
• Leigh Ann Cook, M.S., CFY/SLP
• Michelle L Cook, FNP-C
• Jordan Fayth Cooke, PA-C

• Speech-Language Pathologist in Tyler, TX
• Providers in Tyler, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.