DR. KOURTNEY GISELL CLARK (NPI# 1447682521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447682521 |
| Entity Type | Individual |
| Full Name | DR. KOURTNEY GISELL CLARK |
| Credential | AUD |
| Practice Address |
5420 Dashwood Dr 310 Houston TX 77081-5357 |
| Practice Telephone | 7135121267 |
| Practice Fax Number | 7135121199 |
| Mailing Telephone | 7135121267 |
| Mailing Fax Number | 7135121199 |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2013-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 80468 | TX | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467088070 | Kourtney Leciera Clark | Community Health Worker | 2728 Euclid Ave, Cleveland, OH 44115-2429 | 2020-03-14 |
| Street Address |
5420 DASHWOOD DR 310 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77081-5357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407855893 | Bellaire Family and General Practice Associates, P.a. | Family Medicine | 5420 Dashwood Dr, Suite 100, Houston, TX 77081-5357 | 2005-07-18 |
| 1538792072 | Obiageli Durousseau | Nurse Practitioner | 5420 Dashwood Dr, Houston, TX 77081-5357 | 2020-02-12 |
| 1851816490 | Johanna Pule | Social Worker | 5420 Dashwood Dr, Houston, TX 77081-5357 | 2017-08-04 |
| 1356722458 | Ut Physicians Specialty Services | Pediatrics | 5420 Dashwood Dr, Ste 100, Houston, TX 77081-5357 | 2015-06-15 |
| 1174920458 | Avenue Family Dentistry, Pllc | Dentist | 5420 Dashwood Dr, Suite 300, Houston, TX 77081-5357 | 2014-12-02 |
| 1851705305 | Ut Physicians | Family Medicine | 5420 Dashwood Dr, Houston, TX 77081-5357 | 2014-06-12 |
| 1689019002 | Associates of Physical Therapy Specialists | Physical Therapist | 5420 Dashwood Dr, Suite 306, Houston, TX 77081-5357 | 2013-04-30 |
| 1982048385 | Jason S Grant | Physical Therapist | 5420 Dashwood Dr, Suite 306, Houston, TX 77081-5357 | 2013-04-29 |
| 1760744866 | Key Choice, LLC | Clinic/Center | 5420 Dashwood Dr, 207, Houston, TX 77081-5332 | 2012-06-13 |
| 1497043137 | Garima Arora | Psychiatry & Neurology | 5420 Dashwood Dr, Suite 103, Houston, TX 77081-5357 | 2011-07-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518461961 | Ahmed Elakkad | Radiology | 5704 Edgemoor Dr Apt 90, Houston, TX 77081 | 2018-03-21 |
| 1518471804 | Leslie Marquez | Nurse Practitioner | 6121 Hillcroft St Ste O, Houston, TX 77081 | 2017-11-22 |
| 1841704236 | Erick Noel Montoya Roll | Specialist/Technologist, Other | 5760 Gulfton St Apt 1549, Houston, TX 77081 | 2017-11-22 |
| 1023537743 | Pro Med Rx | Pharmacy | 5716 Bellaire Bldv, Ste. J, Houston, TX 77081 | 2017-09-13 |
| 1831627918 | Ali Ahmed Abdelkhalek Baiomy | Radiology | 5704 Edgemoor Dr, Apt 84, Houston, TX 77081 | 2017-06-01 |
| 1033657002 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 5505 West Loop S Ste 100, Houston, TX 77081 | 2017-02-09 |
| 1982148854 | Greater Houston Psychiatric Associates | Psychologist | 4888 Loop Central Dr, Ste 510, Houston, TX 77081 | 2016-12-13 |
| 1184075657 | Kimble Elisabeth Chentnik | Optometrist | 6699 Chimney Rock, Suite 201, Houston, TX 77081 | 2016-06-27 |
| 1780042226 | Graves Community Health Clinic | Clinic/Center | 6910 Chetwood Dr. Ste. B, Houston, TX 77081 | 2016-01-28 |
| 1588058432 | Mi Rae Kim | Nurse Practitioner | 5420 Dashwood Dr Ste 100, Houston, TX 77081 | 2015-03-27 |
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| 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 |
|---|---|---|---|---|
| 1578175980 | Audrey Breanne Hiner | Audiologist | 8731 Katy Fwy Ste 200, Houston, TX 77024-1735 | 2020-08-18 |
| 1518524404 | James Connor Sullivan | Audiologist | 1977 Butler Blvd Ste E5100, Houston, TX 77030-4101 | 2019-05-26 |
| 1700372992 | Jasmin Elise Auzenne | Audiologist | 17625 El Camino Real Ste 155, Houston, TX 77058 | 2018-07-10 |
| 1114423795 | Corryn Lea Richardson | Audiologist | 2500 Tanglewilde St Ste 160, Houston, TX 77063-2123 | 2018-04-03 |
| 1184132516 | Morgan White | Audiologist | 18200 Katy Fwy Fl 4, Houston, TX 77094-1285 | 2018-01-19 |
| 1649794306 | Conner Haring | Audiologist | 6701 Fannin St Fl 5, Houston, TX 77030-2608 | 2017-08-02 |
| 1598121071 | Meredith Hobgood | Audiologist | 1110 E 27th St, Houston, TX 77009-1104 | 2016-01-13 |
| 1083055107 | Allison Audiology & Hearing Aid Center PC | Audiologist | 12900 Queensbury Ln, Ste 100, Houston, TX 77079-3713 | 2013-07-17 |
| 1760823678 | Deyanira Gonzalez | Audiologist | 1977 Butler Blvd Ste E5.100, Houston, TX 77030 | 2013-07-09 |
| 1700224607 | Shelby Seeberg Mccann | Audiologist | 26620 Interstate 45 N, Houston, TX 77386 | 2013-06-13 |
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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.