MR. JACOB TANNER COOKE (NPI# 1346584885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346584885 |
| Entity Type | Individual |
| Full Name | MR. JACOB TANNER COOKE |
| Credential | MS, CCC-SLP |
| Practice Address |
140 Kimberly Dr Mount Airy NC 27030-9604 |
| Practice Telephone | 3366480007 |
| Mailing Telephone | 3366480007 |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2012-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 14061396 | NC | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 9885 | NC | Speech, Language and Hearing Service Providers |
| Street Address |
140 KIMBERLY DR |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030-9604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
| 1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
| 1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
| 1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
| 1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
| Find all providers in zip 27030 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336751783 | Tamara Roberta Layne | Speech-Language Pathologist | 1525 Searchlight Way, Mount Airy, MD 21771-7708 | 2020-08-18 |
| 1194364349 | Kimberly Lynn Shaughnessy | Speech-Language Pathologist | 16151 Old Frederick Rd, Mount Airy, MD 21771-3337 | 2020-01-04 |
| 1225595986 | Mary Klein | Speech-Language Pathologist | 1101 Cobblestone Ln, Mount Airy, MD 21771-5681 | 2019-02-28 |
| 1265904155 | Kimberlee Ann Lett | Speech-Language Pathologist | 1106 Leafy Hollow Cir, Mount Airy, MD 21771-2804 | 2018-12-18 |
| 1306317763 | Tammy Jones | Speech-Language Pathologist | 202 Watersville Rd, Mount Airy, MD 21771-5519 | 2018-12-11 |
| 1295109932 | Jessica Lynn Souders | Speech-Language Pathologist | 1734 Trestle St, Mount Airy, MD 21771-7759 | 2015-11-18 |
| 1033414537 | Kari Callery | Speech-Language Pathologist | 909 Merridale Blvd, Mount Airy, MD 21771-5263 | 2011-01-14 |
| 1871815860 | Monica Cantrell Parker | Speech-Language Pathologist | 229 Thornbriar Way, Mount Airy, GA 30563-3546 | 2010-02-18 |
| 1689785388 | Jaye Stansbury Wilson | Speech-Language Pathologist | 535 E Pine St, Riverside Professional Offices, Suite 211, Mount Airy, NC 27030-3951 | 2006-08-31 |
| 1285240713 | Kathryn Smith | Speech-Language Pathologist | 1106 Leafy Hollow Cir, Mount Airy, MD 21771-2804 | 2020-09-21 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 27030 |
Please comment or provide details below to improve the information on MR. JACOB TANNER COOKE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.