KELLI ELIZABETH CLARK (NPI# 1255955548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255955548 |
| Entity Type | Individual |
| Full Name | KELLI ELIZABETH CLARK |
| Credential | AUD |
| Practice Address |
1800 Dual Hwy Ste 303 Hagerstown MD 21740-6648 |
| Practice Telephone | 3017390400 |
| Practice Fax Number | 3017390402 |
| Mailing Telephone | 3017390400 |
| Mailing Fax Number | 3017390402 |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 01521 | MD | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518460294 | Kelli Clark | Counselor | 3100 Pioneer Ave, Pittsburgh, PA 15226-1741 | 2018-03-09 |
| 1023669363 | Kelli Clark | Behavior Technician | 1250 S Aw Grimes Blvd, Round Rock, TX 78664-7429 | 2019-09-27 |
| 1659925436 | Kelli Clark | Counselor | 1555 Parkmoor Ave, San Jose, CA 95128-2407 | 2019-07-30 |
| 1922536374 | Kelli Clark | Social Worker | 7200 Bancroft Ave, Oakland, CA 94605-2403 | 2017-05-30 |
| 1558763839 | Kelli Clark | Occupational Therapist | 401 Locust St, Suite 2a, Coraopolis, PA 15108-3954 | 2014-09-18 |
| 1104196815 | Kelli Marie Clark | Social Worker | 23 Maple St, Massena, NY 13662-1017 | 2012-01-11 |
| 1104145895 | Kelli Nicole Clark | Social Worker | 619 N Main St, Muskogee, OK 74401-4431 | 2010-05-20 |
| Street Address |
1800 DUAL HWY STE 303 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-6648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114988011 | Virginia Lea Wise | Audiologist | 1800 Dual Hwy Ste 303, Hagerstown, MD 21740 | 2006-03-30 |
| 1558568857 | Nathan Allen Deckard | Otolaryngology | 1800 Dual Hwy Ste 303, Hagerstown, MD 21740-6648 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| 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 |
|---|---|---|---|---|
| 1134642861 | Laura Alaina Sherry | Audiologist | 1100 Dual Hwy Ste A, Hagerstown, MD 21740-5921 | 2017-07-25 |
| 1740436815 | Michelle Lynn Garrett | Audiologist | 11110 Medical Campus Rd Ste 128, Hagerstown, MD 21742-6799 | 2008-08-08 |
| 1871669499 | Audiological Services Inc | Audiologist | 363 S Cleveland Avenue, Hagerstown, MD 21740 | 2006-11-27 |
| 1114988011 | Virginia Lea Wise | Audiologist | 1800 Dual Hwy Ste 303, Hagerstown, MD 21740 | 2006-03-30 |
| 1639537327 | Mccollum Hearing Center LLC | Audiologist | 13424 Pennsylvania Ave, Suite 204, Hagerstown, MD 21742-2658 | 2016-02-09 |
| 1417235219 | Zella Shabasson | Audiologist | 366 Mill St, Hagerstown, MD 21740-6138 | 2011-07-27 |
| 1710275557 | Cynthia Kerns | Audiologist | 118 E Oak Ridge Dr, 2100, Hagerstown, MD 21740-7793 | 2011-07-14 |
| 1467617027 | Midwest Hearing & Audiology, Inc. | Audiologist | 115 E Main St, Suite 3, Hagerstown, IN 47346-1302 | 2008-07-23 |
| 1639337405 | Charles J Supernavage, Md, PC | Audiologist | 201 S Cleveland Ave, Suite 403, Hagerstown, MD 21740-5745 | 2008-05-29 |
| 1811182843 | Diane Day Shockey | Audiologist | 11110 Medical Campus Rd, Suite 126, Hagerstown, MD 21742-6700 | 2007-09-12 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
Please comment or provide details below to improve the information on KELLI ELIZABETH 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.