Carol Annette Claridy, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA11591 Issued in FL

Practice address

125 Executive Cir
Daytona Beach, FL 32114-1180

Phone

(386) 253-6868

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prescribed Pediatric Extended Care, Inc

  • Medically Fragile Infants and Children Day Care
  • Daytona Beach, FL
  • NPI 1548710163
  NPD (past)
• Prescribed Pediatric Extended Care, Inc

  • Physical Therapist
  • Daytona Beach, FL
  • NPI 1861074726
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205983137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 IVY HILL DR",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305197923",
            "telephone_number": "786-202-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EXECUTIVE CIR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141180",
            "telephone_number": "386-253-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15839 NW 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331696711",
            "country_code": "US",
            "telephone_number": "305-948-5683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARIDY",
        "first_name": "CAROL",
        "middle_name": "ANNETTE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005621600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marilyn Cimafranca
• Natalia Lexis Cimo, MHC
• Tiffany Lyn Cinelli, BS, CTCM
• Clare Kramer LLC
• Clare Kramer LLC
• Ashley Loughan Clark, PA
• Christina M Clark, MS
• Deborah Clark
• Destanee Joy Clark
• Kevin S Clark, M.M.S., PA-C

• Speech-Language Pathologist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.