JULIE W. CLARK (NPI# 1073748349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073748349 |
| Entity Type | Individual |
| Full Name | JULIE W. CLARK |
| Credential | MS, RD, LD, CDE |
| Practice Address |
106 W Washington St. Jefferson IA 50129-1920 |
| Practice Telephone | 5153864153 |
| Practice Fax Number | 5153860364 |
| Mailing Telephone | 5153864153 |
| Mailing Fax Number | 5153860364 |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2015-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1002 | IA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700355468 | Julie Clark | Social Worker | 3733 Spotted Jack Loop N, Billings, MT 59101-6974 | 2018-11-24 |
| 1104328442 | Julie Clark | Physical Therapist | 14929 Sandstone Pl, Grand Haven, MI 49417-7947 | 2018-03-02 |
| 1689918450 | Julie Kaye Clark | Lactation Consultant, Non-RN | 1301 Motter Avenue, Frederick, MD 21701 | 2012-11-19 |
| 1336447663 | Julie Clark | Speech-Language Pathologist | 6276 Plattsburg Rd, South Charleston, OH 45368-8801 | 2011-03-10 |
| 1649577800 | Julie R Clark | Speech-Language Pathologist | 118 N Pearl St, Frewsburg, NY 14738-9514 | 2011-02-23 |
| 1114159555 | Julie J Clark | Nurse Practitioner | 682 Hemlock St Ste 290, Macon, GA 31201-8312 | 2009-08-19 |
| 1245372929 | Julie Lynn Clark | Occupational Therapist | 2446 Forest Leaf Pkwy, Wildwood, MO 63011-1847 | 2007-02-12 |
| 1093737439 | Julie Clark | Physician Assistant | 307 North Broadway, Poteau, OK 74953-0689 | 2006-07-24 |
| 1649214131 | Julie Clark | Physician Assistant | 10255 Overland Rd, Boise, ID 83709-1430 | 2006-06-15 |
| 1346216389 | Julie D Clark | Obstetrics & Gynecology | 1550 Professional Dr Ste A, Suite 100, Petaluma, CA 94954-6655 | 2006-02-28 |
| Street Address |
106 W WASHINGTON ST. |
| City | JEFFERSON |
| State | IA |
| Zip Code | 50129-1920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932689494 | John Bryan Brunow | Durable Medical Equipment & Medical Supplies | 208 E Lincoln Way, Jefferson, IA 50129 | 2018-08-15 |
| 1083903140 | Private Victories Counseling Services, LLC | Marriage & Family Therapist | 115 East Lincolnway, Suite 340, Jefferson, IA 50129 | 2011-03-29 |
| 1093860108 | William Hoyt Monroe | Pharmacist | 400 North Elm Street, Jefferson, IA 50129 | 2007-01-25 |
| 1073672036 | Martin W Miller | Chiropractor | 206 N Grimmell Road, Jefferson, IA 50129 | 2006-12-06 |
| 1972548303 | Hy Vee Inc | Pharmacy | 106 W. Washington Street, Suite 1, Jefferson, IA 50129 | 2006-06-19 |
| 1720052996 | Michael Dean Smith | Audiologist-Hearing Aid Fitter | 100 S Wilson Ave, Jefferson, IA 50129 | 2006-02-15 |
| 1407843220 | Laurie Lynn Connolly | Family Medicine | 1002 Lincoln Way, Jefferson, IA 50129 | 2005-10-06 |
| 1639173685 | Anglemyer Pharmacies LLC | Durable Medical Equipment & Medical Supplies | 400 N Elm St, Jefferson, IA 50129 | 2005-06-08 |
| 1174740385 | Holly M Van De Voort | Pediatrics | 1000 W Lincoln Way, Jefferson, IA 50129 | 2007-04-19 |
| 1235127481 | Thomas W. Fagg | Family Medicine | 1002 Lincoln Way, Jefferson, IA 50129 | 2005-10-12 |
| Find all providers in zip 50129 | ||||
| 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 |
|---|---|---|---|---|
| 1487282489 | Anna Thornton | Dietitian, Registered | 6250 Picnic Woods Rd, Jefferson, MD 21755-9612 | 2020-03-27 |
| 1073939716 | Christine Wagner | Dietitian, Registered | 54 E Walnut St, Jefferson, OH 44047-1120 | 2014-03-05 |
| 1215297114 | Karen Elaina Woodland | Dietitian, Registered | N4688 County Road Q, Jefferson, WI 53549-9556 | 2012-05-24 |
| 1730316720 | Angela Carol Cemo | Dietitian, Registered | 2817 River Rd, Unit C, Jefferson, LA 70121-4168 | 2009-06-17 |
| 1629118096 | Susan Marie Bell | Dietitian, Registered | 341 General Jackson Drive, Jefferson, GA 30549 | 2007-02-07 |
| 1992369300 | Elizabeth Hartley | Dietitian, Registered | 1514 Jefferson Hwy, Jefferson, LA 70121-2429 | 2019-05-01 |
| 1417287681 | Paula A Williams | Dietitian, Registered | 413 Mcconnell St, Jefferson, NC 28640-9772 | 2010-01-11 |
| 1689807810 | Diana H. Renfro | Dietitian, Registered | 413 Mcconnell St, Jefferson, NC 28640-9772 | 2009-09-04 |
| 1649402868 | Maggi Jane Birdsell | Dietitian, Registered | 413 Mcconnell St, Jefferson, NC 28640-9772 | 2009-08-21 |
| 1487824686 | Karen Creed | Dietitian, Registered | 200 Hospital Ave, Jefferson, NC 28640-9244 | 2008-03-04 |
| Find all providers in JEFFERSON | ||||
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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.