Kennedy Cook, M.A

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP11887 Issued in AZ

Practice address

5304 W Crocus Dr
Glendale, AZ 85306-4318

Phone

(623) 412-4500

NPI assigned

Jul 30, 2019

Last updated

Jul 30, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1538713391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 N 78TH ST UNIT 161",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852506183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 W CROCUS DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064318",
            "telephone_number": "623-412-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "KENNEDY",
        "credential": "M.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP11887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Contursi, M.D.
• Convicted Comeback
• Jillian Conway
• Jacqueline Cook, FNP
• Joan P Cook, M.C., LMFT
• Kirsten Cook, OTR/L
• Mitchell Robert Cook, DO
• Rachael A Cook, AUD
• Ryan Byrne Cook, DO
• Sean Bennett Cooley, DPM

• Speech-Language Pathologist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.