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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Prof. Jackie Leah Clark, PHD

Audiologist in Tool, TX · enumerated 2005 · practices at Cedar Creek Hearing Center.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417951484

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Registry record

Entity type Individual (Type 1)
Name Prof. Jackie Leah Clark
Credential PHD
Sex Female
Practice address Tool, TX, 75143
Phone (903) 432-1932
Fax (903) 432-0520
Enumeration date Jun 8, 2005
Last updated in NPPES Oct 28, 2020

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

231H00000X Audiologist Speech, Language and Hearing Service Providers Primary
PHD · Doctor of Philosophy: A doctoral degree; in healthcare often held by clinical psychologists and researchers. About the PHD credential

Other identifiers

Identifier Type State Issuer
66993 Other TX CSHCN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Jackie Clark's NPI record?
Cross-check NPI 1417951484 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1417951484 active?
Yes, as of the latest NPPES snapshot, NPI 1417951484 is active (record last updated 2020-10-28).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-10-28.