MRS. THERESA S. CLARK (NPI# 1013120948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013120948 |
| Entity Type | Individual |
| Full Name | MRS. THERESA S. CLARK |
| Credential | MSRD,C.D.E., L.D. |
| Practice Address |
530 Noel Ave Hopkinsville KY 42240-1386 |
| Practice Telephone | 2707070060 |
| Practice Fax Number | 2707070068 |
| Mailing Telephone | 2707070060 |
| Mailing Fax Number | 2707070068 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2016-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | KY-0517 | KY | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | TAX ID NO. | 38364492 | 01 |
| KY | LICENSE DIETITIAN | KY-0517 | 01 |
| KY | 9000505900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588118665 | Theresa Clark | Licensed Practical Nurse | 6541 Furnace Rd, Ontario, NY 14519-9701 | 2016-08-07 |
| 1003056383 | Theresa Carlisle Clark | Registered Nurse | 1900 Carriage Dr, Phenix City, AL 36867-2116 | 2009-02-26 |
| 1548441710 | Theresa M. Clark | Marriage & Family Therapist | 5 Colony Street, Suites 301/303, Meriden, CT 06451-3272 | 2007-11-16 |
| 1972700912 | Theresa Marie Clark | Counselor | 108 E 12th St, Suite 1, Hays, KS 67601-3668 | 2007-07-02 |
| 1548893506 | Theresa Ann Clark | Nurse Practitioner | 420 N Main St, Middlebury, IN 46540-8985 | 2020-02-18 |
| 1457688384 | Theresa Clark | Marriage & Family Therapist | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2009-11-13 |
| 1104079839 | Theresa Clark | Registered Nurse | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2008-10-26 |
| 1659520799 | Theresa Clark | Occupational Therapy Assistant | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2008-09-12 |
| 1104015155 | Theresa L Clark | Psychiatry & Neurology | 777 Bannock St, Denver, CO 80204-4507 | 2007-10-16 |
| 1528104650 | Theresa Ross Clark | Internal Medicine | 2067 W Vista Way, Suite 200, Vista, CA 92083-6031 | 2007-01-29 |
| Street Address |
530 NOEL AVE |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-1386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912530502 | Clark & Powell Associates, LLC | Dietitian, Registered | 530 Noel Ave, Hopkinsville, KY 42240-1386 | 2020-02-21 |
| 1700161916 | Clark & Powell Associates, LLC | Dietitian, Registered | 530 Noel Ave, Hopkinsville, KY 42240-1386 | 2011-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1083094932 | Cornell Memory Center | Clinic/Center | 101 North Drive, Hopkinsville, KY 42240 | 2015-06-05 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| Find all providers in zip 42240 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396840732 | Kimberly Gail Cloyd | Dietitian, Registered | 210a Burley Avenue, Hopkinsville, KY 42240 | 2006-09-13 |
| 1912530502 | Clark & Powell Associates, LLC | Dietitian, Registered | 530 Noel Ave, Hopkinsville, KY 42240-1386 | 2020-02-21 |
| 1952645376 | Linsey Ramage | Dietitian, Registered | 1700 Canton St, Hopkinsville, KY 42240-1923 | 2012-11-26 |
| 1235403692 | Emily Colthart | Dietitian, Registered | 1700 Canton St, Hopkinsville, KY 42240-1923 | 2012-03-02 |
| 1013225333 | Devon Jenkins | Dietitian, Registered | 1700 Canton St, Hopkinsville, KY 42240-1923 | 2010-09-21 |
| 1548344807 | Christian County Health Dept | Dietitian, Registered | 1700 Canton St, Po Bx 647, Hopkinsville, KY 42240-1923 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908727 | Laura Elizabeth Dean | Dietitian, Registered | 411 E Chestnut St Ste 544, Louisville, KY 40202-1713 | 2020-09-25 |
| 1629684907 | Jaclyn Vaughn Moore | Dietitian, Registered | 234 E Gray St Ste 164, Louisville, KY 40202-1903 | 2020-09-22 |
| 1790391118 | Elizabeth Marie Riddle | Dietitian, Registered | 4955 Norton Healthcare Blvd Ste 102, Louisville, KY 40241-2832 | 2020-09-21 |
| 1386259471 | Ethan Mattingly | Dietitian, Registered | 175 Thad Redman Rd, Payneville, KY 40157-7524 | 2020-09-15 |
| 1801401294 | Elizabeth Bell | Dietitian, Registered | 241 Franck Ave, Louisville, KY 40206-2544 | 2020-09-11 |
| 1033722855 | Britanii P Mcwhorter | Dietitian, Registered | 770 Roberts Rd, Campbellsville, KY 42718-6740 | 2020-08-31 |
| 1245843291 | Lindsay Gabbard | Dietitian, Registered | 115 Eddie Dr, Mount Vernon, KY 40456-7574 | 2020-08-28 |
| 1134732183 | Tracey True | Dietitian, Registered | 880 Sandstone Rdg, Cold Spring, KY 41076-7119 | 2020-08-28 |
| 1194342519 | Joella Crowder | Dietitian, Registered | 15 Shannon Ln, Somerset, KY 42503-4958 | 2020-07-01 |
| 1982221305 | Rebecca Jean Lyons | Dietitian, Registered | 741 Frozen Crk, Raccoon, KY 41557-8506 | 2020-07-01 |
| Find all providers with the same taxonomy | ||||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.