Leticia Carissa Claytor-Hardy, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2201001417 Issued in VA

Practice address

695 Kinkaid Rd
Annapolis, MD 21402-1006

Phone

(410) 293-2009

NPI assigned

Jul 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Tish Carissa Claytor Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Bren-X Auditory Solutions LLC

  • Audiologist
  • Alexandria, VA
  • NPI 1427559111
  NPD Authorized official

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1396901419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 KINKAID ROAD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21402",
            "telephone_number": "410-293-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 KINKAID RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214021006",
            "telephone_number": "410-293-2009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1970 Roanoke Boulevard",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241536404",
            "country_code": "US",
            "telephone_number": "540-982-2463",
            "fax_number": "540-224-1922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAYTOR-HARDY",
        "first_name": "LETICIA",
        "middle_name": "CARISSA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "01092",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TISH",
            "last_name": "CLAYTOR",
            "middle_name": "CARISSA",
            "prefix": "DR.",
            "credential": "AU.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Megan Reiter Clarke
• Maureen E Clary, MA, CAGS, NCSP
• Colleen Clash, OTR/L
• Zachary Bonner Claudio, MD
• Christina Claypool
• Clean and Sober
• Clear View Counseling Center, LLC
• Clearway Anesthesia Services NE LLC
• Myra M. Cleary, DNP, CPNP, PMHS
• Kendra Barbara Clemens

• Audiologist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Audiologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.