CHARLOTTE ANNE CLARK (NPI# 1497232623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497232623 |
| Entity Type | Individual |
| Full Name | CHARLOTTE ANNE CLARK |
| Credential | SLP-CCC |
| Practice Address |
6172 Airways Blvd Ste 122 Chattanooga TN 37421-2915 |
| Mailing Address |
Po Box 8114 Chattanooga TN 37414-0114 |
| Practice Telephone | 4236221551 |
| Mailing Telephone | 4236221551 |
| Mailing Fax Number | 8778567133 |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 6099 | TN | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163549 | Charlotte Sue Clark | In Home Supportive Care | 47438 National Rd, Saint Clairsville, OH 43950-8804 | 2020-10-29 |
| 1578826491 | Charlotte Allegra Clark | Social Worker | 8 Burke St Apt 151, South Boston, MA 02127-3328 | 2012-06-18 |
| 1699374306 | Charlotte Jean Clark | Pharmacist | 1600 E Jackson St, Macomb, IL 61455-2530 | 2020-10-22 |
| 1295219822 | Charlotte S Clark | Licensed Vocational Nurse | 120 N Walnut St, Jefferson, TX 75657-1934 | 2018-09-19 |
| 1316298797 | Charlotte A. Clark | Licensed Practical Nurse | 700 Se Cross St, Mount Sterling, IL 62353-1561 | 2012-09-26 |
| 1386875128 | Charlotte Ann Clark | Family Medicine | 730 E 2nd St, Apt. 3, Winona, MN 55987-4400 | 2009-07-28 |
| 1891920682 | Charlotte M Clark | Internal Medicine | 400 Webster Ave, New Rochelle, NY 10801-3206 | 2009-05-21 |
| Street Address |
6172 AIRWAYS BLVD STE 122 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421-2915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437303278 | Kathleen Konvalinka Chapman | Occupational Therapist | 6172 Airways Blvd Ste 122, Chattanooga, TN 37421-2915 | 2008-11-06 |
| 1760024269 | Allie Sparks | Nurse Practitioner | 6172 Airways Blvd Ste 122, Chattanooga, TN 37421-2915 | 2019-10-16 |
| 1447892799 | Sabine Connors | Physical Therapist | 6172 Airways Blvd Ste 122, Chattanooga, TN 37421-2915 | 2019-10-08 |
| 1457903189 | Erin Bryant | Physical Therapy Assistant | 6172 Airways Blvd Ste 122, Chattanooga, TN 37421-2915 | 2019-07-12 |
| 1043877780 | Alaina Catherine Eck | Speech-Language Pathologist | 6172 Airways Blvd Ste 122, Chattanooga, TN 37421-2915 | 2019-05-28 |
| 1316503188 | Hanaria Qualls | Occupational Therapist | 6172 Airways Blvd Ste 122, Chattanooga, TN 37421-2915 | 2019-05-16 |
| 1578126249 | Savannah Medearis | Nurse Practitioner | 6172 Airways Blvd Ste 122, Chattanooga, TN 37421-2915 | 2019-04-18 |
| 1699252288 | Noel Kristen Crowder | Occupational Therapist | 6172 Airways Blvd Ste 122, Chattanooga, TN 37421-2915 | 2018-07-26 |
| 1316433238 | Stellar Medical Services, LLC | Physician Assistant | 6172 Airways Blvd Ste 122, Chattanooga, TN 37421-2915 | 2018-07-03 |
| 1679066385 | Andrew Oneal Mansell | Physical Therapist | 6172 Airways Blvd Ste 122, Chattanooga, TN 37421-2915 | 2018-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| 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 |
|---|---|---|---|---|
| 1518572288 | 360 Therapy Partners Pllc | Speech-Language Pathologist | 711 Signal Mountain Rd Unit 228, Chattanooga, TN 37405-1823 | 2020-09-10 |
| 1700340064 | Deanne M Wilson | Speech-Language Pathologist | 921 Givens Rd, Chattanooga, TN 37421-4315 | 2019-01-30 |
| 1336612886 | Kimberly Walker-english | Speech-Language Pathologist | 1962 Plymouth St, Chattanooga, TN 37421-3292 | 2019-01-08 |
| 1417428392 | Julie Ana Boozer | Speech-Language Pathologist | 1005 Stone Ledge Ln, Chattanooga, TN 37421-4769 | 2018-12-17 |
| 1619407087 | Meredith Harper | Speech-Language Pathologist | 600 N Holtzclaw Ave Ste 200, Chattanooga, TN 37404-1242 | 2017-06-18 |
| 1306370531 | Sarah Jolley | Speech-Language Pathologist | 1103 E Dallas Rd Apt 21, Chattanooga, TN 37405-2336 | 2017-04-13 |
| 1134668197 | Valerie Johnson | Speech-Language Pathologist | 505 W Bell Ave, Chattanooga, TN 37405-3405 | 2017-02-22 |
| 1841683570 | Whitney Bacalman | Speech-Language Pathologist | 1103 Highland Dr, Chattanooga, TN 37405-2315 | 2015-03-04 |
| 1437549219 | Heather M Fannin | Speech-Language Pathologist | 771 Mystic Brook Ct, Chattanooga, TN 37421-8347 | 2015-01-30 |
| 1245644517 | Carly Emerson | Speech-Language Pathologist | 283 Acorn Oaks Circle, Apt 113, Chattanooga, TN 37405 | 2014-06-16 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
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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.