Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952800369 Individual Practitioner Female Practitioner

Jessie Ramona Clark , MS, CCC-SLP

Speech-Language Pathologist • Park Rapids, MN

Professional Overview & Biography Verified Profile Summary

Jessie Clark, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Park Rapids, MN. Practice services are available at 600 PLEASANT AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

600 Pleasant Ave S

Park Rapids, MN 56470

Telephone 2186163014
Associated Practice Facility / Clinic
🏢 Anesthesia Care Team, P.a. Facility NPI 1881690006

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Park Rapids, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Park Rapids, MN (3097 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License 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

State License 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.

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Dancia Martens , PA-C

Physician Assistant - Medical

NPI 1033734207

Physician Assistant (Certified)

Melissa Lindow , PTA

Physical Therapy Assistant

NPI 1124376512

Physical Therapist Assistant

NPI 1144883208

Doctor of Medicine (M.D.)

Dr. Heather Mitchell , DPT

Physical Therapist

NPI 1225512916

Doctor of Physical Therapy

Burton Fosse , CRNA

Nurse Anesthetist, Certified Registered

NPI 1285630525

Certified Registered Nurse Anesthetist

NPI 1316906555

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 27, 2018

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

📍
Updated Business Mailing Address August 27, 2018

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

NPI Profile Active February 12, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 12, 2018

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

📍
Updated Business Mailing Address February 12, 2018

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

👤
Provider Name / Credentials Updated February 12, 2018

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

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

Speech-Language Pathologist (License #2202008695 in VA)

🟢
Initial NPI Registration & Enumeration February 12, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.