BRANDI J CLARK (NPI# 1447574389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447574389 |
| Entity Type | Individual |
| Full Name | BRANDI J CLARK |
| Practice Address |
1101 Woodland Dr Elizabethtown KY 42701-2749 |
| Practice Telephone | 2707656106 |
| Practice Fax Number | 2707376690 |
| Mailing Telephone | 2707656106 |
| Mailing Fax Number | 2707376690 |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2717 | KY | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124516182 | Brandi Clark | Behavior Technician | 107 Industrial Dr Ste E, Saint Marys, GA 31558-4436 | 2018-04-25 |
| 1871028274 | Brandi Nicole Clark | Pediatrics | 4900 Mueller Blvd, Suite 3s.066c, Austin, TX 78723-3079 | 2017-04-24 |
| 1154780021 | Brandi Clark | Licensed Practical Nurse | 3086 State Route 160, Gallipolis, OH 45631-8409 | 2016-02-19 |
| 1558790485 | Brandi Love Clark | Nurse Practitioner | 12502 Willowbrook Rd, Suite 300, Cumberland, MD 21502-6491 | 2013-11-01 |
| 1649614488 | Brandi L. Clark | Community/Behavioral Health | 2205 Spanish Town Ave, North Las Vegas, NV 89031-0903 | 2013-04-23 |
| 1215283569 | Brandi Clark | Home Health Aide | 605 Stanley Ave, Columbus, OH 43206-2418 | 2012-07-24 |
| 1306075502 | Brandi Carroll Clark | Pharmacist | 1081 Ga Highway 96, Warner Robins, GA 31088-2507 | 2009-07-08 |
| Street Address |
1101 WOODLAND DR |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-2749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790858801 | Extendicare Homes, Inc. | Skilled Nursing Facility | 1101 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-11-16 |
| 1689159972 | Elizabethtown Opco LLC | Skilled Nursing Facility | 1101 Woodland Dr, Elizabethtown, KY 42701-2749 | 2018-10-02 |
| 1346500303 | Elizabethtown Health Facilities Lp | Skilled Nursing Facility | 1101 Woodland Dr, Elizabethtown, KY 42701-2749 | 2012-05-24 |
| 1265756407 | Lindsay Eubank | Speech-Language Pathologist | 1101 Woodland Dr, Elizabethtown, KY 42701-2749 | 2010-03-17 |
| 1104140342 | Jessica F Fisher | Physical Therapy Assistant | 1101 Woodland Dr, Elizabethtown, KY 42701-2749 | 2010-03-17 |
| 1689837411 | Kelli Padgett | Occupational Therapist | 1101 Woodland Dr, Elizabethtown, KY 42701-2749 | 2008-07-02 |
| 1659562874 | Christy Hunt | Physical Therapy Assistant | 1101 Woodland Dr, Elizabethtown, KY 42701-2749 | 2007-08-05 |
| 1194915447 | Lisa King | Occupational Therapy Assistant | 1101 Woodland Dr, Elizabethtown, KY 42701-2749 | 2007-08-01 |
| 1780882704 | Steven Charles Vandorn | Occupational Therapy Assistant | 1101 Woodland Dr, Elizabethtown, KY 42701-2749 | 2007-07-11 |
| 1952509341 | Monica Gahagan | Occupational Therapy Assistant | 1101 Woodland Dr, Elizabethtown, KY 42701-2749 | 2007-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| 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 |
|---|---|---|---|---|
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1477042422 | Sarah Marie Altman-kopko | Speech-Language Pathologist | 928 Hedgewyck Ln, Elizabethtown, PA 17022 | 2018-05-05 |
| 1033629191 | Katherine Constance Mcleod | Speech-Language Pathologist | Hardin County School, Rr2, Elizabethtown, IL 62931 | 2017-10-03 |
| 1023537198 | Kathryn Davis | Speech-Language Pathologist | 34 Public Sq, 2, Elizabethtown, KY 42701-1436 | 2017-09-11 |
| 1952848863 | Jennifer Irvin | Speech-Language Pathologist | 3494 Roundtop Rd, Elizabethtown, PA 17022-9059 | 2017-01-30 |
| 1053860718 | Athena V Emerine | Speech-Language Pathologist | 28 Paddock Point Ct, Elizabethtown, KY 42701-4310 | 2016-09-22 |
| 1013464437 | Kynisha Cloud | Speech-Language Pathologist | 36 Creekside Dr, Elizabethtown, PA 17022-9230 | 2016-09-01 |
| 1801256847 | Michele Swiney | Speech-Language Pathologist | 508 Poplar Trce, Elizabethtown, KY 42701-8084 | 2016-03-03 |
| 1619349099 | Pegasus Farm Inc | Speech-Language Pathologist | 4271 Roundtop Rd, Elizabethtown, KY 42701-8244 | 2015-10-26 |
| 1790152221 | Ace Therapy | Speech-Language Pathologist | 28 Paddock Pt, Elizabethtown, KY 42701-4310 | 2015-09-01 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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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.