KRISTA RENAE CLARK (NPI# 1629336490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629336490 |
| Entity Type | Individual |
| Full Name | KRISTA RENAE CLARK |
| Credential | M.S. CCC-SLP |
| Practice Address |
1011 Professional Blvd Dalton GA 30720-2506 |
| Mailing Address |
118 Cherry Bark Way Unit 3 Dalton GA 30721-1957 |
| Practice Telephone | 7062264623 |
| Mailing Telephone | 8014009559 |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP007831 | GA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073687224 | Krista M Clark | Specialist | 810 Hadley Ave, Old Hickory, TN 37138-3121 | 2006-11-20 |
| 1114935301 | Krista Jean Clark | Physical Therapist | 210 E Main St Ste 111, Midway, UT 84049-6828 | 2006-08-03 |
| 1457811515 | Krista Noel Clark | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2019-03-23 |
| 1609303312 | Krista Clark | Marriage & Family Therapist | 400 Prospect Pl, Alpharetta, GA 30005-5468 | 2017-05-12 |
| 1073048567 | Krista Clark | Dietitian, Registered | 7700 University Dr, Fans, West Chester, OH 45069-2505 | 2017-04-22 |
| 1962727743 | Krista M Clark | Family Medicine | 2791 N Washington St, Hedrick Family Care, Chillicothe, MO 64601-2902 | 2010-04-05 |
| 1023347481 | Krista Clark | Dietitian, Registered | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2009-12-15 |
| 1053352187 | Krista Carrie Clark | Dietitian, Registered | 450 E 23rd St, Fremont, NE 68025-2303 | 2006-06-09 |
| Street Address |
1011 PROFESSIONAL BLVD |
| City | DALTON |
| State | GA |
| Zip Code | 30720-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780646026 | John Scott Riley | Audiologist | 1011 Professional Blvd, Dalton, GA 30720-2506 | 2006-04-03 |
| 1881209138 | Allison Anastasia Eargle | Speech-Language Pathologist | 1011 Professional Blvd, Dalton, GA 30720-2506 | 2020-09-14 |
| 1689206617 | Caroline Snellgrove | Speech-Language Pathologist | 1011 Professional Blvd, Dalton, GA 30720-2506 | 2020-02-07 |
| 1124685177 | Caroline Jenkins | Speech-Language Pathologist | 1011 Professional Blvd, Dalton, GA 30720-2506 | 2019-05-24 |
| 1629581673 | Kathryn-louise Henley Mccreery-scarbor | Audiologist | 1011 Professional Blvd, Dalton, GA 30720-2506 | 2017-11-13 |
| 1700275815 | Trisha M Burnham | Speech-Language Pathologist | 1011 Professional Blvd, Dalton, GA 30720-2506 | 2015-01-13 |
| 1235566522 | Kristi Kae Armstrong | Speech-Language Pathologist | 1011 Professional Blvd, Dalton, GA 30720-2506 | 2013-10-01 |
| 1649438714 | Herndon Anthony Durett II | Audiologist | 1011 Professional Blvd, Dalton, GA 30720-2506 | 2008-05-27 |
| 1912165283 | Adrienne J Cooper | Speech-Language Pathologist | 1011 Professional Blvd, Dalton, GA 30720-2506 | 2008-05-23 |
| 1851408652 | Matthew Wayne Collier | Speech-Language Pathologist | 1011 Professional Blvd, Dalton, GA 30720-2506 | 2006-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528688421 | Nighat Purnima Kabir | Student in an Organized Health Care Education/Training Program | Hamilton Medical Center, Attn: Residency Program, 1200 Memorial Drive, Dalton, GA 30720 | 2020-04-21 |
| 1720620727 | Elizabeth Nicole Gregory | Behavioral Analyst | 1201 Burleyson Rd., Dalton, GA 30720 | 2019-10-10 |
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1073069225 | Alyssa Sellers Garner | Nurse Practitioner | 1436 Chattanooga Avenue, Dalton, GA 30720 | 2016-08-28 |
| 1588039077 | Katie Walker | Social Worker | 900 Shugart Road, Dalton, GA 30720 | 2015-12-09 |
| 1215310800 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 98 West Walnut Ave, Dalton, GA 30720 | 2015-07-01 |
| 1275969081 | Stacy Kay Whitehead | Nurse Practitioner | 1411 Chattanooga Avenue, Suite 101, Dalton, GA 30720 | 2013-09-25 |
| 1821439985 | Chantal Aneka Raheeda Lewis | Internal Medicine | 1109 Burleyson Rd Ste 103, Dalton, GA 30720 | 2013-07-17 |
| 1174960678 | Homestead Hospice of Northwest Georgia, LLC | Hospice Care, Community Based | 1601 Hickory Street, Dalton, GA 30720 | 2013-05-24 |
| Find all providers in zip 30720 | ||||
| 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 |
|---|---|---|---|---|
| 1972161768 | Andrea Nicole Henry | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, Ga. 30720, Dalton, GA 30720 | 2019-06-05 |
| 1275056905 | Cynthia L Wood | Speech-Language Pathologist | 1011 Professional Blvd., Dalton, GA 30720 | 2017-07-25 |
| 1316363815 | Emily Ann Miller | Speech-Language Pathologist | 493 North St, Dalton, MA 01226-1224 | 2014-03-10 |
| 1801141577 | Stephanie Lynn Timothy | Speech-Language Pathologist | 11585 E Wood Rd, Dalton, NY 14836-9643 | 2012-07-19 |
| 1346542461 | Karen Ann Cwiklinski | Speech-Language Pathologist | Church and Maple Sts, Dalton, NY 14836 | 2010-11-22 |
| 1265743207 | Lindsie Hope Champion | Speech-Language Pathologist | 100 W Walnut Ave Ste 92, Dalton, GA 30720-8441 | 2010-06-24 |
| 1881209138 | Allison Anastasia Eargle | Speech-Language Pathologist | 1011 Professional Blvd, Dalton, GA 30720-2506 | 2020-09-14 |
| 1861013831 | Laurie Shaw | Speech-Language Pathologist | 1201 Burleyson Rd, Dalton, GA 30720-3019 | 2020-05-01 |
| 1689206617 | Caroline Snellgrove | Speech-Language Pathologist | 1011 Professional Blvd, Dalton, GA 30720-2506 | 2020-02-07 |
| 1568014371 | Laura Lynn Sams | Speech-Language Pathologist | 1201 Burleyson Road, Dalton, GA 30720 | 2019-07-11 |
| Find all providers in DALTON | ||||
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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.