Debra Ashley Clark, AU,D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A.01922 Issued in OH

Practice address

41 W 25TH St FL 3
New York, NY 10010-2085

Phone

(800) 854-2772

NPI assigned

Oct 12, 2012

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)

Enrolled

State licenses

Practice roles

Locations

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.

• GN Consumer Hearing Corporation

  • Hearing Aid Equipment
  • Shakopee, MN
  • NPI 1831868454

  Audiologist

  NPD

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1255683330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 W 25TH ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102085",
            "telephone_number": "800-854-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 W 25TH ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102085",
            "telephone_number": "800-854-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "DEBRA",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "AU,D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-12",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.01922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL  LICENSE",
            "identifier": "AUD004112",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine M Clark, MD
• Claudia Nicole Clark
• Courtney Clark, PA-C
• Daniel Clark
• Daniel George Clark, CRNA, DNP
• Devon A Clark, M.S., CCC-SLP
• Elizabeth Clark, PSY.D.
• Elizabeth Martin Clark, PHD
• Emilie Katherine Clark, LCSW
• Emily Lauren Clark, PA-C

• Audiologist in New York, NY
• Providers in New York, NY by specialty
• Audiologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.