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MRS. SUSAN KAY CLARK MS RD IBCLC NPI 1093721359


NPI Information

NPI: 1093721359
Provider Name: MRS. SUSAN KAY CLARK, MS, RD, IBCLC
Classification: Dietitian, Registered - 133V00000X
Entity Type: Individual
Address:
2621 W WACKERLY ST
SUITE D
MIDLAND, MI
ZIP 48640
Phone: (989) 832-8322
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MRS. Susan Kay Clark, MS, RD, IBCLC is a dietitian registered in Midland, MI. The provider is a Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation. MRS. Susan Kay Clark, MS, RD, IBCLC NPI is 1093721359. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2621 W WACKERLY ST
SUITE D
MIDLAND, MI
ZIP 48640-993
Phone: (989) 832-8322

The enumeration date for this NPI number is 7/31/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133V00000XDietitian, RegisteredYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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