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Katherine E Clark

Speech-Language Pathologist β€’ Odessa, FL

Active NPI 1316368152 Individual Practitioner Female Practitioner
Practice location in NPPES

11981 Ruddy Run
Odessa, FL 335564095

Call 8135251323 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

11981 Ruddy Run

Odessa, FL 335564095

Telephone 8135251323

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Odessa and Florida

11 active clinicians are listed under Speech-Language Pathologist with a practice address in Odessa, FL (11,513 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Odessa

0% of these 11 clinicians have the CMS telehealth indicator.

0% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-06-04
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES FL SA12208

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 04, 2023

Registered at 11981 RUDDY RUN, ODESSA, FL 335564095 (Tel: 8135251323)

πŸ“
Updated Business Mailing Address June 04, 2023

Registered at 11981 RUDDY RUN, ODESSA, FL 335564095 (Tel: 8135251323)

πŸ‘€
Provider Name / Credentials Updated June 04, 2023

Recorded as KATHERINE CLARK

βœ…
NPI Profile Active September 07, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 07, 2015

Registered at 4443 ROWAN RD, NEW PORT RICHEY, FL 346536198 (Tel: 7278469900)

πŸ“
Business Mailing Address (Initial Record) September 07, 2015

Registered at 3905 BRAESGATE LN, TAMPA, FL 336241806 (Tel: 8135251323)

πŸ‘€
Provider Name / Credentials (Initial Record) September 07, 2015

Recorded as KATHERINE LONG

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2015

Speech-Language Pathologist (license number reported to NPPES: FL SA12208)

🟒
Initial NPI Registration & Enumeration December 20, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1316368152
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2013
Last Update: June 04, 2023
Sole Proprietor: Yes

Mailing Address

11981 Ruddy Run

Odessa, FL 335564095

Phone: 8135251323

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.