KRISTEN M CLARK (NPI# 1134385933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134385933 |
| Entity Type | Individual |
| Full Name | KRISTEN M CLARK |
| Credential | AUD |
| Practice Address |
26224 N Tatum Blvd Ste 14 Phoenix AZ 85050-7500 |
| Practice Telephone | 6022833823 |
| Practice Fax Number | 4803891754 |
| Mailing Telephone | 6022833823 |
| Mailing Fax Number | 4803891754 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2018-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | DA1316 | AZ | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447717111 | Kristen Marie Clark | Nurse Practitioner | 1724 W Beach Ave, Chicago, IL 60622-2108 | 2019-02-28 |
| 1598264475 | Kristen Clark | Non-emergency Medical Transport (VAN) | 252 American Spirit Rd, Winter Haven, FL 33880-8102 | 2018-02-07 |
| 1174959910 | Kristen Leigh Clark | Licensed Practical Nurse | 105 Edgewood Ave, Buffalo, NY 14220-1765 | 2013-09-25 |
| 1528670502 | Kristen Clark | Speech-Language Pathologist | 2080 Citygate Dr, Columbus, OH 43219-3591 | 2020-08-20 |
| 1609488568 | Kristen Noelle Clark | Behavior Technician | 16941 N Eagle River Loop Rd, Eagle River, AK 99577-7824 | 2020-08-20 |
| 1023575891 | Kristen Clark | Specialist/Technologist | 537 Union Ave, Grants Pass, OR 97527-5543 | 2019-02-27 |
| 1750884508 | Kristen Clark | Occupational Therapist | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2018-03-16 |
| 1245769850 | Kristen Ann Clark | Physician Assistant | 15 Hospital Center Blvd Ste 1, Hilton Head Island, SC 29926-2760 | 2017-06-07 |
| 1336501964 | Kristen Clark | Nurse Practitioner | 3001 N Rocky Point Dr E, Suite 185, Tampa, FL 33607-5810 | 2016-03-23 |
| 1376903385 | Kristen M Clark | Physician Assistant | 200 Robinhood Medical Plz, Winston Salem, NC 27106-5471 | 2016-03-03 |
| Street Address |
26224 N TATUM BLVD STE 14 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-7500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003327719 | Innovative Audiology and Hearing Clinic LLC | Clinic/Center | 26224 N Tatum Blvd Ste 14, Phoenix, AZ 85050-7500 | 2017-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
| Find all providers in zip 85050 | ||||
| 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 |
|---|---|---|---|---|
| 1427675933 | Bryce Alexander Altus | Audiologist | 4122 W Innovative Dr Ste 101, Phoenix, AZ 85086-3847 | 2020-06-30 |
| 1053937441 | Cassidy White | Audiologist | 7207 S 41st Ln, Phoenix, AZ 85041-3506 | 2020-06-22 |
| 1720592827 | Mary Christine Ferriera | Audiologist | 2340 E Beardsley Rd Ste 260, Phoenix, AZ 85024-1287 | 2017-11-28 |
| 1871015305 | Amanda Marie Mcinroy | Audiologist | 4545 E Shea Blvd Ste 174, Phoenix, AZ 85028-3061 | 2017-07-17 |
| 1093244451 | Shana Cynamon | Audiologist | 1801 N 37th Pl, Phoenix, AZ 85008 | 2017-06-08 |
| 1801045893 | Christina M Kelso | Audiologist | 5110 E Warner Rd Ste 100, Phoenix, AZ 85044-3368 | 2008-09-15 |
| 1396914032 | Rita Gail Carter | Audiologist | 8055 N 24th Ave, Suite 103, Phoenix, AZ 85021-4865 | 2008-02-27 |
| 1770771180 | Carol Eichorst | Audiologist | 2051 W Northern Ave, Suite 200, Phoenix, AZ 85021-5179 | 2007-10-10 |
| 1780883579 | Georgine Ray | Audiologist | 4638 E Shea Blvd, Suite B-170, Phoenix, AZ 85028-3072 | 2007-07-12 |
| 1306985163 | Beverly Ruth Andersen | Audiologist | 1946 W Morten Ave, Phoenix, AZ 85021-6977 | 2007-02-06 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on KRISTEN M CLARK.
| 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.