Cottonwood Neurology, LLC

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

COTTONWOOD NEUROLOGY, LLC

Practice address

8751 Collin McKinney Pkwy Ste 1102 #1010
McKinney, TX 75070-1872

Phone

(972) 991-2292

NPI assigned

Dec 11, 2020

Organization subpart

No

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

Authorized official

Name

Doreen Shinn

Title

Cfo

Phone

(972) 991-2292

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1770189953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 COLLIN MCKINNEY PKWY STE 1102 #1010",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701872",
            "telephone_number": "972-991-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 COLLIN MCKINNEY PKWY STE 1102 #1010",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701872",
            "telephone_number": "972-991-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTONWOOD NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2023-06-21",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "SHINN",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-991-2292"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.