Myra Cooke

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5202 Issued in SC

Practice address

56 Genesis Dr
Lake City, SC 29560-5531

Phone

(843) 389-3685

NPI assigned

Mar 14, 2015

Last updated

Mar 14, 2015By 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

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summit Speech Therapy, LLC

  • Speech-Language Pathologist
  • Sumter, SC
  • NPI 1730783853
  Medicare reassignment NPD
• Sumter School District

  • Local Education Agency (LEA)
  • Sumter, SC
  • NPI 1407152531
  NPD
• Sleepworks, LLC

  dba Pivotal Health

  • Sleep Disorder Diagnostic Clinic/Center
  • Greenville, SC
  • NPI 1912919739
  NPD (past)

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

{
    "created_epoch": "1426291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426291200000",
    "number": "1932592920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 GENESIS DR",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295605531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 GENESIS DR",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295605531",
            "telephone_number": "843-389-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "MYRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-14",
        "last_updated": "2015-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaaron Collins, R. N.
• Community Organized for Advancement, Inc.
• Convenient Health and Wellness Virtual Care
• Erica Conyers, MA, ADC-IP
• Willie Frank Cook Jr., EMT
• Creations-Unlimited
• Norman G. Creighton, MS
• Kayla Bishop Cribb, PT, DPT, OMT-C
• CTF Universal Medical Transport LLC
• Daniel E Decamps, M.D.

• Speech-Language Pathologist in Lake City, SC
• Providers in Lake City, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2015; 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.