COOK CHILDREN'S MEDICAL CENTER (NPI# 1336198894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336198894 |
| Entity Type | Organization |
| Organization Name | COOK CHILDREN'S MEDICAL CENTER |
| Other Organization Name | AUDIOLOGY PROVIDER GROUP |
| Practice Address |
801 7th Ave Fort Worth TX 76104-2733 |
| Mailing Address |
Po Box 99213 Fort Worth TX 76199-0213 |
| Practice Telephone | 6828854000 |
| Practice Fax Number | 6828851437 |
| Mailing Telephone | 6828854871 |
| Mailing Fax Number | 6828853936 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2013-01-23 |
| Authorized Official Name | RICHARD P GOODE (CFO, CCHCS) |
| Authorized Official Telephone | 6828857663 |
| Is Organization Subpart | Y |
| Parent Organization Name | COOK CHILDREN'S MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237600000X | Audiologist-Hearing Aid Fitter | Speech, Language and Hearing Service Providers | ||
| Y | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| AUDIOLOGY PROVIDER GROUP | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104383983 | Cook Children's Medical Center | Clinic/Center | 4300 W University Dr, Prosper, TX 75078-9806 | 2019-02-27 |
| 1326548280 | Cook Children's Medical Center | Pediatrics | 6316 Precinct Line Rd Ste A, Hurst, TX 76054-2766 | 2018-02-17 |
| 1942509963 | Cook Children's Medical Center | Psychologist | 901 7th Ave Ste 2100, Fort Worth, TX 76104-2722 | 2011-03-16 |
| 1215907530 | Cook Children's Medical Center | Ambulance | 124 Texas Way, Fort Worth, TX 76106-2773 | 2006-01-26 |
| 1760452080 | Cook Children's Medical Center | Clinic/Center | 1500 Cooper St Fl 1, Fort Worth, TX 76104-2710 | 2006-01-26 |
| 1316409105 | Cook Children's Medical Center | Clinic/Center | 13340 Highland Hills Dr, Aledo, TX 76008 | 2019-04-02 |
| 1609338490 | Cook Children's Medical Center | Pediatrics | 13340 Highland Hills Dr, Aledo, TX 76008 | 2019-04-02 |
| 1003373887 | Cook Children's Medical Center | Pediatrics | 4300 W University Dr, Prosper, TX 75078-9806 | 2019-02-27 |
| 1114427911 | Cook Children's Medical Center | Clinic/Center | 6316 Precinct Line Rd Ste A, Hurst, TX 76054-2766 | 2018-02-19 |
| 1538669916 | Cook Children's Medical Center | Pediatrics | 1401 W Pulaski St, Fort Worth, TX 76104-2717 | 2018-02-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COOK CHILDREN'S MEDICAL CENTER | 801 7th Ave, Fort Worth, TX 76104-2733 |
| Street Address |
801 7TH AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053315010 | Jon Michael Badgwell | Anesthesiology | 801 7th Ave, Fort Worth, TX 76104-2733 | 2005-06-08 |
| 1609482884 | Tiffani Christensen | Nurse Practitioner | 801 7th Ave, Fort Worth, TX 76104-2796 | 2020-09-22 |
| 1528676723 | Kaitlin Renee Noyes | Pediatrics | 801 7th Ave, Fort Worth, TX 76104-2733 | 2020-07-14 |
| 1114567369 | Lauren Elizabeth Walker | Nurse Practitioner | 801 7th Ave, Fort Worth, TX 76104-2733 | 2020-01-15 |
| 1124667753 | Kirsten A Gomez | Social Worker | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-12-30 |
| 1841838448 | Mark Cole Carrillo | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-12-13 |
| 1326686148 | Erica Burton | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-12-11 |
| 1689217432 | Claire Koskie | Dietitian, Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-10-24 |
| 1437709243 | Rhonda Maritza Andi | Nurse Practitioner | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-09-13 |
| 1972061034 | Katharine Avery Molloy | Nurse Anesthetist, Certified Registered | 801 7th Ave, Fort Worth, TX 76104-2733 | 2019-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083098743 | Amanda Love | Audiologist | 1919 8th Ave., Fort Worth, TX 76110-1358 | 2015-07-13 |
| 1972915262 | Connect Hearing, Inc. | Audiologist | 5512 Bellaire Dr S Ste K, Fort Worth, TX 76109-5800 | 2014-05-21 |
| 1992007678 | Amy Lee Zahn | Audiologist | 923 Pennsylvania Avenue Suite 100, Fort Worth, TX 76104-0000 | 2010-12-01 |
| 1548560485 | Christi Leann Madsen | Audiologist | 923 Pennsylvania Ave., Suite 100, Fort Worth, TX 76104-2254 | 2010-10-26 |
| 1821322470 | Andrea Seibold | Audiologist | 5449 Lake Powell Dr, Fort Worth, TX 76137-4341 | 2009-09-30 |
| 1710147202 | Alicia G Woods | Audiologist | 1001 12th Ave Ste 150, Fort Worth, TX 76104-3929 | 2008-06-10 |
| 1124294863 | Jack Jones Hearing Centers, Inc. | Audiologist | 5512-k Bellaire Dr S, Fort Worth, TX 76109-5800 | 2008-05-02 |
| 1639345630 | Jack Jones Hearing Aid Center | Audiologist | 400 S Henderson St, Fort Worth, TX 76104-1017 | 2008-04-30 |
| 1376746016 | Jack Jones Hearing Centers, Inc | Audiologist | 5512 Bellaire Dr S, Suite K, Fort Worth, TX 76109-8800 | 2007-06-08 |
| 1952427056 | Hearing Improvement Inc | Audiologist | 4736 Bryant Irvin Rd, Suite 702, Fort Worth, TX 76132-3625 | 2007-03-21 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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| 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.