Individual provider Active NPI

Holly M Cook, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Sacramento, CA
National Provider Identifier
1497980858
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 12812 Issued in CA
Practice address
1972 Del Paso Rd
Suite 156
Sacramento, CA 95834-7724
Phone
(916) 575-8800
Fax
(916) 575-8822
NPI assigned
May 28, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP 12812 CA Primary

Addresses

Primary practice location

1972 Del Paso Rd
Suite 156
Sacramento, CA 95834-7724

Mailing address

1972 Del Paso Rd
Suite 156
Sacramento, CA 95834-7724
Phone (916) 575-8800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110302000811 CA Practitioner - Qualified Speech Language Pathologist 7810178407 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
12812CAMDOccupational Therapist
SP 12812CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Speech and Language Inc Speech-Language Pathologist CurrentSince Feb 1, 2011 Accepting new patients

Locations

1972 Del Paso Rd
Ste 156
Sacramento, CA 95834
Phone (916) 575-8800

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1497980858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1972 DEL PASO RD",
            "address_2": "SUITE 156",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958347724",
            "telephone_number": "916-575-8800",
            "fax_number": "916-575-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1972 DEL PASO RD",
            "address_2": "SUITE 156",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958347724",
            "telephone_number": "916-575-8800",
            "fax_number": "916-575-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "HOLLY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-28",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 12812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.