Amy Elizabeth Clark, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

KY-2826 Issued in KY

Practice address

275 Hiland St
Monticello, KY 42633-2802

Phone

(606) 348-8283

NPI assigned

Apr 12, 2007

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)

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.

• Lake Cumberland Therapy Center, Inc.

  • Speech-Language Pathologist
  • Monticello, KY
  • NPI 1639729460
  NPD

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1881818656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 HILAND ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332802",
            "telephone_number": "606-348-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 HILAND ST",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426332802",
            "telephone_number": "606-348-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY-2826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1715",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra Rachelle Catron, D.C.
• CCPB
• Kristy Chadwick
• Bryce A Childers, PHARMD
• Danielle Choate, APRN
• Ashton R Coffey, PHARM D
• Jacob Dudley Coffey, FNP-C
• Commonwealth Case Management, LLC
• Community Care Pharmacy, L.L.C.
• Jennifer Brown Compton, O.D.

• All providers in Monticello, KY
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.