Active NPI
Melissa-Rose Djinia Cook, MS, CCC-SLP
- Speech-Language Pathologist
- Fuquay-Varina, NC
National Provider Identifier
1649425240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7386
- Practice address
- 465 Timber Meadow Lake Drive
Fuquay-Varina, NC 27526-4923 - Phone
- (919) 346-3350
- Fax
- (919) 285-2554
- NPI assigned
- Nov 24, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 13459 | ||
| Speech-Language Pathologist | 235Z00000X | 7386 | NC | Primary |
Addresses
Primary practice location
465 Timber Meadow Lake Drive
Fuquay-Varina, NC 27526-4923
Mailing address
PO Box 2023
Fuquay-Varina, NC 27526-4923
Phone (919) 346-3350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7413035 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7386 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speak Easy Rehabilitation, PLLC | Speech-Language Pathologist | Current | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Fuquay Varina, NC
- NPI 1932415940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692144000000",
"number": "1649425240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2023",
"city": "FUQUAY-VARINA",
"state": "NC",
"postal_code": "275264923",
"telephone_number": "919-346-3350",
"fax_number": "919-285-2554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 TIMBER MEADOW LAKE DRIVE",
"city": "FUQUAY-VARINA",
"state": "NC",
"postal_code": "275264923",
"telephone_number": "919-346-3350",
"fax_number": "919-285-2554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "MELISSA-ROSE",
"middle_name": "DJINIA",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-24",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "13459",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "7386",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7413035",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fuquay-Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.