Active NPI
Kristi H Clark, M.S., CCC-A
- Audiologist
- McKinney, TX
National Provider Identifier
1073772497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 51261
- Practice address
- 8080 State Highway 121
Ste 120
McKinney, TX 75070-2900 - Phone
- (214) 383-5955
- Fax
- (214) 383-5966
- NPI assigned
- Jun 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 51261 | TX | Primary |
Addresses
Primary practice location
8080 State Highway 121
Ste 120
McKinney, TX 75070-2900
Mailing address
8080 State Highway 121
Ste 120
McKinney, TX 75070-2900
Phone (214) 383-5955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51261 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1073772497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8080 STATE HIGHWAY 121",
"address_2": "STE 120",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750702900",
"telephone_number": "214-383-5955",
"fax_number": "214-383-5966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8080 STATE HIGHWAY 121",
"address_2": "STE 120",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750702900",
"telephone_number": "214-383-5955",
"fax_number": "214-383-5966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "KRISTI",
"middle_name": "H",
"credential": "M.S., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "51261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.