DEANNA CLARK (NPI# 1871641084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871641084 |
| Entity Type | Individual |
| Full Name | DEANNA CLARK |
| Credential | MS,CCC-SLP |
| Practice Address |
4021 Iona Cir Anchorage AK 99507-3341 |
| Practice Telephone | 9073446042 |
| Practice Fax Number | 9076442808 |
| Mailing Telephone | 9073446042 |
| Mailing Fax Number | 9076442808 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 39 | AK | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | PROFESSIONAL SLP LICENSE | 39 | 01 |
| AK | SP9180 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578012514 | Deanna Clark | Registered Nurse | 1539 Stone Rd, Rochester, NY 14615-1516 | 2016-10-03 |
| 1801347711 | Deanna Deloney Clark | Occupational Therapy Assistant | 2230 Ashley Crossing Dr, Charleston, SC 29414-5700 | 2016-10-17 |
| 1477003366 | Deanna R Clark | Nurse Practitioner | 4304 Carlisle Blvd Ne, Albuquerque, NM 87107-4811 | 2016-10-04 |
| 1013145093 | Deanna Carol Clark | Counselor | 911 E Colorado Blvd Ste 200, Pasadena, CA 91106-1773 | 2009-06-29 |
| Street Address |
4021 IONA CIR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99507-3341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634233 | Mackena Elsie Johnson | Massage Therapist | Sports & Spinal Injury Clinic, 6634 Lake Otis Pkwy #a, Anchorage, AK 99507 | 2020-09-23 |
| 1710599808 | Abracadabra Speech LLC | Speech-Language Pathologist | 6823 Tudor Road, Anchorage, AK 99507 | 2020-08-19 |
| 1487111241 | Fe Comon | Nursing Home Administrator | 1841 E 57th Ave., 1841 E 57th Ave., Anchorage, AK 99507 | 2019-02-27 |
| 1780171249 | Carol Won | Pharmacist | 2550 E. 88th Ave., Anchorage, AK 99507 | 2018-04-19 |
| 1821549411 | Isioma Nwaeme | Registered Nurse | 2529 Rives Court, Anchorage, AK 99507 | 2016-10-18 |
| 1669921268 | Michaelyn Scott | Massage Therapist | 1601 E. Dimond Blvd., Suite 201, Anchorage, AK 99507 | 2016-09-25 |
| 1013387638 | Robert R Croley | Case Manager/Care Coordinator | 1515 E Tudor Rd Ste 6, Anchorage, AK 99507 | 2015-09-25 |
| 1124494265 | Ryan Scott Fordt | Chiropractor | 2665 E Tudor Rd Ste 201, Anchorage, AK 99507 | 2015-08-12 |
| 1073907465 | Sarah E Lawrence | Case Manager/Care Coordinator | 1750 Abbott Road, Alzheimer's Resource of Alaska, Anchorage, AK 99507 | 2015-03-24 |
| 1699184507 | Melissa Lingad | Nurse's Aide | 7691 Winchester St., Anchorage, AK 99507 | 2014-08-05 |
| Find all providers in zip 99507 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599808 | Abracadabra Speech LLC | Speech-Language Pathologist | 6823 Tudor Road, Anchorage, AK 99507 | 2020-08-19 |
| 1760001622 | Kathleen Carol Zelina | Speech-Language Pathologist | 525 Cherry St, Anchorage, AK 99504-2125 | 2020-04-10 |
| 1275152456 | Tidal Bore Resource Center | Speech-Language Pathologist | 14251 Jarvi Dr, Anchorage, AK 99515-3945 | 2020-04-08 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1619487972 | Meredith Mesquita | Speech-Language Pathologist | 201 E 54th Ave, Anchorage, AK 99518-1202 | 2017-10-02 |
| 1396271011 | Ak Direct Speech Therapy LLC | Speech-Language Pathologist | 3401 E 42nd Ave, Suite 201, Anchorage, AK 99508-5458 | 2017-05-02 |
| 1871034090 | Kimberly Stahlnecker | Speech-Language Pathologist | 3401 E 42nd Ave Ste 201, Anchorage, AK 99508-5458 | 2017-03-20 |
| 1285177907 | Bluegrass Speech Pathology Services | Speech-Language Pathologist | 9651 Buddy Werner Dr, Anchorage, AK 99507-5915 | 2016-11-29 |
| 1780032789 | Cierra Nicole Love Holt | Speech-Language Pathologist | 6810 Gold Kings Cir Unit C, Anchorage, AK 99504-1196 | 2016-05-31 |
| 1780030593 | Lindsey Pearson | Speech-Language Pathologist | 12580 Old Seward Hwy, Anchorage, AK 99515-3506 | 2016-05-11 |
| Find all providers in ANCHORAGE | ||||
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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.