Clark-Blackmond & Associates LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

CLARK-BLACKMOND & ASSOCIATES LLC

Practice address

2301 Montgomery Dr W
Wilson, NC 27893-4476

Phone

(919) 413-8449

NPI assigned

May 22, 2018

Organization subpart

No

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

Authorized official

Name

Anthony J ClarkNPI 1174026298

Title

Teacher

Phone

(919) 413-8449

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Jamal Clark

  • Speech-Language Pathologist
  • Wilson, NC
  • NPI 1174026298

  Occupational Therapist

  NPD Authorized official

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552435200000",
    "number": "1922599232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 NC HIGHWAY 42 W STE C",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278937735",
            "telephone_number": "919-413-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 MONTGOMERY DR W",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934476",
            "telephone_number": "919-413-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK-BLACKMOND & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2019-03-13",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "TEACHER",
        "authorized_official_telephone_number": "919-413-8449"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Shirwanda Chestnut, MPT
• Ajinder Singh Chhabra, MD
• Patricia Michelle Childers, NP
• Heather M Christman
• Clarity Home Care Agency
• Anthony Jamal Clark
• Edward Joseph Clark III, M.D.
• John Philip Clarke, CPO
• Natalie Tamara Clarke, PMHNP
• Terry Claycomb, DPM

• Speech-Language Pathologist in Wilson, NC
• Providers in Wilson, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.