Riley Elizabeth Clark

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

24436873 Issued in CO

Practice address

26301 E Arapahoe Rd
Aurora, CO 80016-1809

Phone

(303) 773-1184

NPI assigned

Feb 9, 2024

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 names 1

• Riley Elizabeth McKibbon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1417711441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26301 E ARAPAHOE RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161809",
            "telephone_number": "303-773-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26301 E ARAPAHOE RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161809",
            "telephone_number": "303-773-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "RILEY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "24436873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RILEY",
            "last_name": "MCKIBBON",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mallory Clark, D.O.
• Melissa Anne Clark, PHARM D
• Meredith Rose Clark
• Randall Clark, MD
• Richard Todd Clark, M.D.
• Sallie Brooks Clark, MD
• Sarah E Clark, PHD
• Sophie E Clark, MD
• Timothy Clark
• Toshimasa James Clark, M.D.

• Speech-Language Pathologist in Aurora, CO
• Providers in Aurora, CO by specialty
• Speech-Language Pathologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.