JERRY KENT CLARK JR. (NPI# 1548664766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548664766 |
| Entity Type | Individual |
| Full Name | JERRY KENT CLARK JR. |
| Practice Address |
4611 Otter Ct Burlington NC 27215-9076 |
| Practice Telephone | 3362630330 |
| Mailing Telephone | 3362630330 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 6075 | NC | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447490792 | Jerry W Clark | Counselor | 470 Bannon St, Sacramento, CA 95811-0204 | 2009-02-26 |
| 1114082872 | Jerry S Clark | Chiropractor | 3325 N University Ave Ste 125, Provo, UT 84604-6615 | 2006-12-23 |
| 1710058284 | Jerry D Clark | Counselor | 1830 Nasa Pkwy Ste 104, Houston, TX 77058-3544 | 2006-11-13 |
| 1639187297 | Jerry Christopher Clark | Massage Therapist | 2360 S Union Ave, Alliance, OH 44601-5079 | 2006-08-03 |
| 1710465919 | Jerry Clark | Behavioral Analyst | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2018-07-31 |
| 1497232060 | Jerry Dean Clark | Counselor | 1616 S Gold St Ste 4, Centralia, WA 98531-8930 | 2018-07-25 |
| 1881911261 | Jerry Lee Clark | Social Worker | 201 W Broadway St, Suite A, North Little Rock, AR 72114-5552 | 2010-04-26 |
| 1619203551 | Jerry R Clark | Dentist | 1115 W Friendly Ave, Greensboro, NC 27401-1844 | 2009-10-28 |
| 1356521371 | Jerry Lee Clark | Counselor | 112 N Broad St, Rm 821, Phila, PA 19102-1510 | 2007-11-07 |
| 1346280005 | Jerry A Clark | Internal Medicine | 722 N Fairfield Rd, Beavercreek, OH 45434-5918 | 2006-06-08 |
| Street Address |
4611 OTTER CT |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27215-9076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1336797331 | Kelly Elizabeth Fleming | Preventive Medicine | Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 | 2019-09-03 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1912459132 | Herb Mccandless Jr. | Non-emergency Medical Transport (VAN) | 4412 Dogwood Rd, Burlington, NC 27215 | 2016-11-04 |
| 1023479623 | Alpha Diagnostics, LLC | Clinical Medical Laboratory | 3015 South Church St, Burlington, NC 27215 | 2016-03-10 |
| 1669720819 | Lucy Wessinger Menefee | Registered Nurse | Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 | 2012-08-20 |
| 1154685402 | Sheryl Harper | Social Worker | 2815 North Church Street, Burlington, NC 27215 | 2012-07-02 |
| Find all providers in zip 27215 | ||||
| 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 |
|---|---|---|---|---|
| 1740717040 | Corey Gibeault | Audiologist | Eleanor M. Luse Center 489 Main Street, Pomeroy Hall, Burlington, VT 05405 | 2017-05-17 |
| 1295900066 | James E. Hansen | Audiologist | W532 Potter Rd, Burlington, WI 53105-2902 | 2008-04-23 |
| 1003088121 | Mary Francesca Plantamura | Audiologist | 11 Bedford St, 1st Floor, Burlington, MA 01803-3771 | 2008-03-28 |
| 1902021652 | Jodi S Hogan | Audiologist | 1248 Huffman Mill Rd Ste 200, Burlington, NC 27215-8700 | 2007-04-16 |
| 1407983398 | Gabrielle Simone | Audiologist | 11 Belmont Rd, 1st Floor, Burlington, MA 01803-5102 | 2007-02-27 |
| 1003951070 | Rachel Ivka Mcarthur | Audiologist | 431 14th St, Burlington, CO 80807-1609 | 2007-02-20 |
| 1063431856 | Eileen Marie Lancaster | Audiologist | 1817 Mount Holly Rd, Burlington, NJ 08016-4700 | 2006-07-19 |
| 1104864545 | Sherrie A Pelkey | Audiologist | 1248 Huffman Mill Road, Suite 200, Burlington, NC 27215-2847 | 2006-06-04 |
| 1508322744 | Rachel Centafont | Audiologist | 1248 Huffman Mill Rd Ste 200, Burlington, NC 27215-8700 | 2019-02-12 |
| 1215429766 | Kathryn E Keyes | Audiologist | 111 Colchester Ave Dept Of, Burlington, VT 05401-1473 | 2018-05-31 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27215 |
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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.