Active NPI
Jennifer Kay Cook, M.S. CCC-SLP
- Speech-Language Pathologist
- Longwood, FL
National Provider Identifier
1487716171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA11634
- Practice address
- 1029 Bearded Oaks Ter
Longwood, FL 32779-2365 - Phone
- (407) 392-7173
- NPI assigned
- Dec 16, 2006
- Last updated
- Jul 31, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 005636 | GA | |
| Speech-Language Pathologist | 235Z00000X | SA11634 | FL | Primary |
Addresses
Primary practice location
1029 Bearded Oaks Ter
Longwood, FL 32779-2365
Mailing address
1029 Bearded Oaks Terrace
Longwood, FL 32779-2365
Phone (407) 392-7173
Other names 1
- Miss Jennifer Kay Erd
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250906000873 | FL | Practitioner - Qualified Speech Language Pathologist | 0345432324 | Practice locations: Longwood, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1029 Bearded Oaks Ter
Longwood, FL 32779-2365
Phone (336) 725-0222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3153 | KS | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1487716171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 BEARDED OAKS TERRACE",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327792365",
"telephone_number": "407-392-7173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 BEARDED OAKS TER",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327792365",
"telephone_number": "407-392-7173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "JENNIFER",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-16",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "005636",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA11634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "ERD",
"middle_name": "KAY",
"prefix": "MISS",
"credential": "M.S. CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.