Charlotte Anne Clark, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6099 Issued in TN

Practice address

6172 Airways Blvd Ste 122
Chattanooga, TN 37421-2915

Phone

(423) 622-1551

NPI assigned

Jul 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

• Stellar Medical Services, LLC

  • Nurse Practitioner
  • Chattanooga, TN
  • NPI 1316433238
  NPD (past)
• Stellartherapy Services, LLC

  • Speech-Language Pathologist
  • Chattanooga, TN
  • NPI 1205041811
  NPD (past)

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1497232623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8114",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374140114",
            "telephone_number": "423-622-1551",
            "fax_number": "877-856-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6172 AIRWAYS BLVD STE 122",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212915",
            "telephone_number": "423-622-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "CHARLOTTE",
        "middle_name": "ANNE",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "6099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colin Riley Clanton, MD
• Clark Dental Studio, PLLC
• Alexis Haven Clark
• Austin Frank Clark, MD
• Blanche W Clark
• Christine Clark
• Connie Clark
• D'Vondria Clark
• Danielle S Clark, RN
• Elwyn C Clark, DO

• Speech-Language Pathologist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.