Individual provider Active NPI

Christa L. Cook-McKinney, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Falmouth, ME
National Provider Identifier
1861628216
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP2062 Issued in ME
Practice address
Maine Educational Center for the Deaf and Hard of Heari
1 Mackworth Island
Falmouth, ME 04105-1900
Phone
(207) 781-3165
Fax
(207) 781-6296
NPI assigned
May 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1186 NH
Speech-Language Pathologist 235Z00000X SP2062 ME Primary

Addresses

Primary practice location

Maine Educational Center for the Deaf and Hard of Heari
1 Mackworth Island
Falmouth, ME 04105-1900

Mailing address

Maine Educational Center for the Deaf and Hard of Heari
1 Mackworth Island
Falmouth, ME 04105-1900
Phone (207) 781-3165

Other names 1

  • Ms. Christa L. Cook Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1186NHMDGeneral Practice Dentistry
SP2062MEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Educational Center for the Deaf and Hard of Hearing Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1861628216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MAINE EDUCATIONAL CENTER FOR THE DEAF AND HARD OF HEARI",
            "address_2": "1 MACKWORTH ISLAND",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051900",
            "telephone_number": "207-781-3165",
            "fax_number": "207-781-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAINE EDUCATIONAL CENTER FOR THE DEAF AND HARD OF HEARI",
            "address_2": "1 MACKWORTH ISLAND",
            "city": "FALMOUTH",
            "state": "ME",
            "postal_code": "041051900",
            "telephone_number": "207-781-3165",
            "fax_number": "207-781-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK-MCKINNEY",
        "first_name": "CHRISTA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-29",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "1186",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP2062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTA",
            "last_name": "COOK",
            "middle_name": "L.",
            "prefix": "MS.",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Falmouth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.