Individual provider Active NPI

Brenda M Cook, MA-CCC

  • Audiologist-Hearing Aid Fitter
  • Malone, NY
National Provider Identifier
1962629733
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
000973-1 Issued in NY
Practice address
3982 State Route 11
Malone, NY 12953-3757
Phone
(518) 753-3277
Fax
(518) 594-0355
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 000973-1 NY Primary

Addresses

Primary practice location

3982 State Route 11
Malone, NY 12953-3757

Mailing address

3982 State Route 11
Malone, NY 12953-3757
Phone (518) 753-3277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150318000870 NY Practitioner - Qualified Audiologist 0840517595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State Hearing and Audiology PCGroup PAC ID 3173758711, 3 clinicians

Practice addresses (Care Compare)

6609 State Hwy 56
Potsdam, NY 13676-3510
Phone (315) 508-4327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
000973-1NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
State Hearing and Audiology, PC Audiologist-Hearing Aid Fitter CurrentSince Jan 1, 2015 Accepting new patients

Locations

3982 State Route 11
Malone, NY 12953
Phone (518) 753-3277

6609 State Highway 56
Potsdam, NY 13676
Phone (315) 508-4327

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1962629733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3982 STATE ROUTE 11",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129533757",
            "telephone_number": "518-753-3277",
            "fax_number": "518-594-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3982 STATE ROUTE 11",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129533757",
            "telephone_number": "518-753-3277",
            "fax_number": "518-594-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "BRENDA",
        "middle_name": "M",
        "credential": "MA-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NY",
            "license": "000973-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.