Individual provider Active NPI

Stephanie Miller-Cook, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Apex, NC
National Provider Identifier
1982877965
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10143 Issued in NC
Practice address
2908 Concerto Court
Apex, NC 27539-3611
Phone
(919) 363-7585
Fax
(919) 303-3939
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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 2298 MA
Speech-Language Pathologist 235Z00000X 10143 NC Primary

Addresses

Primary practice location

2908 Concerto Court
Apex, NC 27539-3611

Mailing address

1106 Porches Drive
Wilmington, NC 28409-4961
Phone (910) 399-1920

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
2298MAMDAddiction (Substance Use Disorder) Counselor
10143NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1982877965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 PORCHES DRIVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284094961",
            "telephone_number": "910-399-1920",
            "fax_number": "910-399-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 CONCERTO COURT",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275393611",
            "telephone_number": "919-363-7585",
            "fax_number": "919-303-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER-COOK",
        "first_name": "STEPHANIE",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "2298",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "10143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apex, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.