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Jessie Ramona Clark , MS, CCC-SLP

Speech-Language Pathologist β€’ Park Rapids, MN

Active NPI 1952800369 Individual Practitioner Female Practitioner
Practice location in NPPES

600 Pleasant Ave S
Park Rapids, MN 56470

Call 2186163014 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

600 Pleasant Ave S

Park Rapids, MN 56470

Telephone 2186163014
Organization at the Same NPPES Address or Phone
Anesthesia Care Team, P.a. Facility NPI 1881690006

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Newport News, VA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2018

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 Park Rapids and Minnesota

6 active clinicians are listed under Speech-Language Pathologist with a practice address in Park Rapids, MN (3,083 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES MN 10152

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES VA 2202008695

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: Minnesota Board of Medical Practice.
Look Up on State Board Site

Secondary Practice Locations

1501 Kiln Creek Pkwy

Newport News, VA 236029665

Phone: 7578867961

13460 Woodside Ln

Newport News, VA 23608

Phone: 7578867744

480 Colony Rd

Newport News, VA 23602

Phone: 7578867778

480 Colony Rd

Newport News, VA 23602

Phone: 7578867778

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Karl Carlson , CRNA

Nurse Anesthetist, Certified Registered

NPI 1528064557

Certified Registered Nurse Anesthetist

NPI 1518987122

Doctor of Medicine (M.D.)

Dr. Roy Cordy , MD

Emergency Medicine

NPI 1902848971

Doctor of Medicine (M.D.)

NPI 1144883208

Doctor of Medicine (M.D.)

Dancia Martens , PA-C

Physician Assistant - Medical

NPI 1033734207

Physician Assistant (Certified)

Dr. Vern Prochaska , MD

Orthopaedic Surgery

NPI 1891845947

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location August 27, 2018

Registered at 600 PLEASANT AVE S, PARK RAPIDS, MN 56470 (Tel: 2186163014)

πŸ“
Updated Business Mailing Address August 27, 2018

Registered at 600 PLEASANT AVE S, PARK RAPIDS, MN 564701431 (Tel: 2186163014)

βœ…
NPI Profile Active February 12, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 12, 2018

Registered at 480 COLONY RD, NEWPORT NEWS, VA 23602 (Tel: 7578867778)

πŸ“
Business Mailing Address (Initial Record) February 12, 2018

Registered at 480 COLONY RD, NEWPORT NEWS, VA 23602 (Tel: 7578867778)

πŸ‘€
Provider Name / Credentials (Initial Record) February 12, 2018

Recorded as JESSIE CLARK, M.S., CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2018

Speech-Language Pathologist (license number reported to NPPES: VA 2202008695)

🟒
Initial NPI Registration & Enumeration February 12, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1952800369
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2018
Last Update: August 27, 2018
Sole Proprietor: No

Mailing Address

600 Pleasant Ave S

Park Rapids, MN 564701431

Phone: 2186163014

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.