PROF. JACKIE LEAH CLARK (NPI# 1417951484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417951484 |
Entity Type | Individual |
Full Name | PROF. JACKIE LEAH CLARK |
Credential | PHD |
Practice Address |
601 S Tool Dr Tool TX 75143-1959 |
Mailing Address |
5038 Creekwood Dr Flower Mound TX 75028-1913 |
Practice Telephone | 9034321932 |
Practice Fax Number | 9034320520 |
Mailing Telephone | 9725398558 |
Mailing Fax Number | 2149053022 |
Enumeration Date | 2005-06-08 |
Last Update Date | 2020-10-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | CSHCN | 66993 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124474457 | Jackie Clark | Occupational Therapist | 11472 Walden Loop, Parrish, FL 34219-7565 | 2016-05-05 |
1790769065 | Jackie Harold Clark Sr. | Optometrist | 1805 N 13th St, Broken Arrow, OK 74012-8256 | 2005-12-01 |
1467874107 | Jackie Clark | Counselor | 6130 Elton Ave, Las Vegas, NV 89107-2538 | 2014-01-15 |
Street Address |
601 S TOOL DR |
City | TOOL |
State | TX |
Zip Code | 75143-1959 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780225631 | Elizabeth Paige Buell | Audiologist | 601 S Tool Dr, Tool, TX 75143-1959 | 2019-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750919437 | Antonio Ray Gomez | Licensed Vocational Nurse | 301 Lakeway Blvd, Tool, TX 75143 | 2020-03-30 |
1023147121 | Lighted Pathways Health Services, Inc. | Registered Nurse | 600 E Cedar Creek Parkway, Seven Points, TX 75143 | 2007-03-05 |
1235264748 | Hms Sleep Lab LLC | Clinical Medical Laboratory | 606 Seven Points Blvd, 11, Seven Points, TX 75143 | 2007-02-23 |
1770625816 | Dennise Marie Richardson | Physician Assistant | 615 E. Cedar Creek Pkwy, Seven Points, TX 75143 | 2007-02-13 |
1518061647 | Cedar Creek Pharmacy Inc | Pharmacist | 606 S Seven Points, Suite 7, Seven Points, TX 75143 | 2006-09-11 |
1407021017 | Hms Sleep Lab LLC | Clinical Medical Laboratory | 606 Seven Points Blvd, Suite 11, Seven Points, TX 75143 | 2008-04-24 |
1720299670 | Thomas Ray Anderson | Dentist | 113 Hwy. 274 S., Kemp, TX 75143-0348 | 2007-05-24 |
1780634501 | Robert E Emfinger | Durable Medical Equipment & Medical Supplies | 1224 S Elm St, Kemp, TX 75143-0569 | 2006-05-11 |
1558434027 | Brookshire Grocery Company | Pharmacy | 210 S Seven Points Dr, Attention Pharmacy Dept, Seven Points, TX 75143-2000 | 2006-11-15 |
1356988422 | Pablo Esquivel Jr. | Pharmacist | 210 S Seven Points Dr, Seven Points, TX 75143-2000 | 2019-12-07 |
Find all providers in zip 75143 |
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 |
---|---|---|---|---|
1780225631 | Elizabeth Paige Buell | Audiologist | 601 S Tool Dr, Tool, TX 75143-1959 | 2019-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386969 | Holly M Conradt | Audiologist | 4001 W 15th St Ste 225, Plano, TX 75093-5838 | 2020-11-04 |
1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
1386241701 | Melanie Marie Mcqueen | Audiologist | 3010 Williams Dr Ste 108, Georgetown, TX 78628-2748 | 2020-10-08 |
1477150878 | Abigail Harkey | Audiologist | 4315 James Casey St # 300, Austin, TX 78745-3364 | 2020-10-08 |
1831706175 | Monkey Ears, LLC | Audiologist | 1140 N Kimball Ave, Southlake, TX 76092-5569 | 2020-09-30 |
1578175980 | Audrey Breanne Hiner | Audiologist | 8731 Katy Fwy Ste 200, Houston, TX 77024-1735 | 2020-08-18 |
1609494855 | Acro Audiology Hearing Care Center | Audiologist | 540 Oak Centre Dr Ste 220, San Antonio, TX 78258-3937 | 2020-07-13 |
1629696562 | Hanna Patel | Audiologist | 11661 Preston Rd Ste 131, Dallas, TX 75230-6191 | 2020-07-07 |
1699399667 | Maryann Flores Zurrica | Audiologist | 2101 S. Cynthia, Plex A, Mcallen, TX 78503 | 2020-06-04 |
1750905287 | Holly Skinner | Audiologist | 12600 Lockhart Dr, Denton, TX 76207-1760 | 2020-06-01 |
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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.