DR. LETICIA CARISSA CLAYTOR-HARDY (NPI# 1396901419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396901419 |
| Entity Type | Individual |
| Full Name | DR. LETICIA CARISSA CLAYTOR-HARDY |
| Other Name | DR. TISH CARISSA CLAYTOR |
| Credential | AU.D. |
| Practice Address |
1721 Admiral Taussig Blvd Norfolk VA 23511-2802 |
| Mailing Address |
Naval Medical Center Portsmouth 620 John Paul Jones Circle Portsmouth VA 23708 |
| Practice Telephone | 7579538906 |
| Mailing Telephone | 7579538906 |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 2201001417 | VA | Speech, Language and Hearing Service Providers |
| N | 231H00000X | Audiologist | 01092 | MD | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1970 Roanoke Boulevard, Salem, VA 241536404 | 5409822463 | 5402241922 |
| Street Address |
1721 ADMIRAL TAUSSIG BLVD |
| City | NORFOLK |
| State | VA |
| Zip Code | 23511-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588635072 | Alexander Royzenblat | Dentist | 1721 Admiral Taussig Blvd, Sewell's Point Branch Medical Clinic, Norfolk, VA 23511-2802 | 2006-02-01 |
| 1558877878 | Ismael Arturo Lopez | Military Health Care Provider | 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802 | 2017-12-22 |
| 1184133670 | Jeffrey Joseph Illinik | Physician Assistant | 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802 | 2017-09-27 |
| 1629525837 | Matthew Squires | Optometrist | 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802 | 2016-09-06 |
| 1144775529 | Volha Zarubina Just | Physician Assistant | 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802 | 2016-08-16 |
| 1891141768 | Itse Begho | Student in an Organized Health Care Education/Training Program | 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802 | 2016-05-10 |
| 1134581176 | Damico Hill | Physician Assistant | 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802 | 2016-03-28 |
| 1295194157 | David Barclay England II | Psychologist | 1721 Admiral Taussig Blvd, Department of Mental Health, Norfolk, VA 23511-2802 | 2016-02-19 |
| 1164808598 | Justin Michael Loder | Physician Assistant | 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802 | 2015-08-07 |
| 1548645179 | Julie Simmons | Optometrist | 1721 Admiral Taussig Blvd, Optometry, Norfolk, VA 23511-2802 | 2015-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215591888 | Nash Richard Galvan | Military Health Care Provider | 456-462 Pocahontas St, Norfolk, VA 23511 | 2019-04-29 |
| 1578059481 | Hillary Anne Diffee | Dentist | Navsta Norfolk Sewells Point Branch Clinic, 1647 Admiral Taussig Blvd, Norfolk, VA 23511 | 2018-07-03 |
| 1154860237 | Alexander Blau | General Practice | 1751 Morris Street, Comnavsurflant - Medical Readiness Division, Norfolk, VA 23511 | 2017-02-22 |
| 1205188307 | Agnes Bautista Banias | Dental Hygienist | 1647 Admiral Taussig Blvd Br Health Clinic, Naval Medical Center Portsmouth, Norfolk, VA 23511 | 2012-10-12 |
| 1891052676 | Conor Francis Hynes | Surgery | 1530 Gilbert St Ste 2000, Norfolk, VA 23511 | 2012-04-18 |
| 1871867747 | Brian Joseph Kennerley | Surgery | U. S. Marine Corps Forces Command, 1775 Forrestal Drive Bldg 33, Norfolk, VA 23511 | 2012-02-23 |
| 1053629964 | Shawnly Heath Ward | Military Health Care Provider | Surface Warfare Medical Institute - East, 459 Bellinger Blvd, Norfolk, VA 23511 | 2010-09-14 |
| 1225351760 | Jocelyn Martinezdelgado | Military Health Care Provider | 8857 1st Street, Pcu Jason Dunham Suite 400, Norfolk, VA 23511 | 2010-03-11 |
| 1245480854 | Vanessa O Hofilena | Dentist | 1647 Admiral Taussig Boulevard, Naval Medical Center Portsmouth - Dental Center, Norfolk, VA 23511 | 2008-09-19 |
| 1780833954 | Cecilia M Brownblake | Dentist | 1647 Admiral Taussig Blvd., Norfolk, VA 23511 | 2008-09-12 |
| Find all providers in zip 23511 | ||||
| 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 |
|---|---|---|---|---|
| 1831709195 | Alexandra Renae Mai | Audiologist | 885 Kempsville Rd Ste 221, Norfolk, VA 23502-3800 | 2020-08-03 |
| 1518422096 | Norfolk Audiology, P.C. | Audiologist | 109 N 29th St Ste 4, Norfolk, NE 68701-3261 | 2019-02-08 |
| 1386206324 | Anna Eudora Louthan | Audiologist | 600 Gresham Dr Ste 1100, Norfolk, VA 23507-1904 | 2019-06-30 |
| 1417443987 | Adrienne Grey | Audiologist | 600 Gresham Dr Ste 1100, Norfolk, VA 23507 | 2018-07-07 |
| 1417440744 | Nicole Wall Jones | Audiologist | 600 Gresham Dr Ste 1100, Norfolk, VA 23507 | 2018-06-12 |
| 1043702947 | Alexandria Frances Matz | Audiologist | 600 Gresham Dr Ste 1100, Norfolk, VA 23507 | 2018-06-06 |
| 1316439904 | Allen Cabahug Derina | Audiologist | 600 Gresham Dr Ste 1100, Norfolk, VA 23507-1904 | 2018-05-31 |
| 1699170043 | Mia Pendergrass | Audiologist | 600 Gresham Dr, 1100, Norfolk, VA 23507-1904 | 2014-10-28 |
| 1407263734 | Hannah Hodson Mclean | Audiologist | 600 Gresham Dr, Suite 1100, Norfolk, VA 23507-1904 | 2014-07-18 |
| 1124448717 | Leslie Ann Shoulders | Audiologist | 600 Gresham Dr, 1100, Norfolk, VA 23507 | 2014-04-22 |
| Find all providers in NORFOLK | ||||
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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.