Brooke Renee Clark, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

3600 NE Ralph Powell Rd Ste E
Lees Summit, MO 64064-2313

Phone

(816) 228-8393

Fax

(816) 293-9192

NPI assigned

Aug 19, 2020

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

Other names 1

• Miss Brooke Renee Empson Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Billings Speech Pathology Services, LLC

  • Speech-Language Pathologist
  • Lees Summit, MO
  • NPI 1437382900
  NPD (past)

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1811509029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 SE BROWNFIELD DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640813009",
            "telephone_number": "816-518-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 NE RALPH POWELL RD STE E",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640642313",
            "telephone_number": "816-228-8393",
            "fax_number": "816-293-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "BROOKE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.billingsspeech.com/",
            "affiliation": "N",
            "address_1": "3600 NE Ralph Powell Rd Ste E",
            "city": "Lees Summit",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640642313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "EMPSON",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "credential": "M.S. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Chun, MSN
• Matthew Cianciolo, DO
• Jessica Cisneros, C.N.M.
• City of Lees Summit
• Amy Clark
• Channel Trenise Clark, PMHNP-BC
• Crystal Michelle Clark
• Morgan Lee Clark, DPT
• Aaron Clary, D.C.
• Charity Ann Clavey, LCSW, LAC

• Speech-Language Pathologist in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.