Active NPI
Jamie M. Cooksey
- Early Intervention Provider Agency
- Albany, KY
National Provider Identifier
1972897668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 222Q00000X
- Practice address
- 6025 N Highway 127
Albany, KY 42602-8065 - Phone
- (606) 387-5620
- NPI assigned
- May 31, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 222Q00000X | KY | Primary |
Addresses
Primary practice location
6025 N Highway 127
Albany, KY 42602-8065
Mailing address
6025 N Highway 127
Albany, KY 42602-8065
Phone (606) 387-5620
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222Q00000X | KY | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306800000000",
"number": "1972897668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6025 N HIGHWAY 127",
"city": "ALBANY",
"state": "KY",
"postal_code": "426028065",
"telephone_number": "606-387-5620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6025 N HIGHWAY 127",
"city": "ALBANY",
"state": "KY",
"postal_code": "426028065",
"telephone_number": "606-387-5620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOKSEY",
"first_name": "JAMIE",
"middle_name": "M.",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-31",
"last_updated": "2011-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "KY",
"license": "222Q00000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.