LORI RENEE CLARK (NPI# 1376040493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376040493 |
| Entity Type | Individual |
| Full Name | LORI RENEE CLARK |
| Credential | RD |
| Practice Address |
1201 Hadley Rd Mooresville IN 46158-1737 |
| Mailing Address |
8015 Thistle Finch Brownsburg IN 46112-7768 |
| Practice Telephone | 3175288961 |
| Mailing Telephone | 3179650892 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 879437 | IN | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710347612 | Lori Clark | Contractor | 4487 Trail St, Norco, CA 92860-2487 | 2016-03-04 |
| 1558731273 | Lori Clark | Pharmacist | 720 E Hwy 74 Business, Rockingham, NC 28379-0000 | 2015-10-07 |
| 1912335571 | Lori A Clark | Registered Nurse | 3417 Carman Rd, Schenectady, NY 12303-5319 | 2013-10-17 |
| 1649493255 | Lori Karin Clark | Chiropractor | 2309 Rt 541, Burlington, NJ 08016 | 2007-04-11 |
| 1437274982 | Lori Ann Clark | Physical Therapy Assistant | Old Midland Trail-rt. 60, Ansted, WV 25812 | 2007-03-20 |
| 1073575213 | Lori J Clark | Optometrist | 1145 Manhattan Ave, Manhattan Beach, CA 90266-5333 | 2006-04-04 |
| 1568094530 | Lori Clark | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2020-02-07 |
| 1912330275 | Lori Johnson Clark | Pharmacist | 300 Twining St, Montgomery, AL 36112-6027 | 2013-08-09 |
| 1326359860 | Lori Ellen Clark | Psychologist | 1095 S Main St, Cheshire, CT 06410-3432 | 2010-06-30 |
| 1114258530 | Lori Damon Clark | Occupational Therapy Assistant | 216 Main Street, Lake Village, AR 71653 | 2010-01-25 |
| Street Address |
1201 HADLEY RD |
| City | MOORESVILLE |
| State | IN |
| Zip Code | 46158-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407807449 | Christopher A Prater | Anesthesiology | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2006-05-15 |
| 1669086864 | Katherine Miller | Physical Therapist | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2020-09-04 |
| 1861028094 | Trisha Renee Gearld | Physical Therapist | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2020-03-19 |
| 1467926394 | Kimberly Pearl Hankenhoff | Registered Nurse | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2019-01-14 |
| 1841768413 | Lauren Kristine Hatter | Nurse Practitioner | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2018-11-12 |
| 1720587371 | Sheri Lynn Burkhalter | Physical Therapist | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2018-02-09 |
| 1124526447 | Theresa R Yoder | Physical Therapist | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2018-02-01 |
| 1104358910 | Ancy Jacob | Internal Medicine | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2017-03-30 |
| 1144761057 | Kelly L. Prather | Nurse Practitioner | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2017-03-10 |
| 1659725430 | Tracy Martin | Registered Nurse | 1201 Hadley Rd, Mooresville, IN 46158-1737 | 2016-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352613 | Victoria Shay Parsons | Pharmacist | 523 Sr-67 N, Mooresville, IN 46158 | 2020-09-30 |
| 1083150049 | Terri Joann Hughes | Hearing Instrument Specialist | Mobile / Home Care, Mooresville, IN 46158 | 2017-01-16 |
| 1578938650 | Harrison County Hospital | Skilled Nursing Facility | 302 North Johnson Road, Mooresville, IN 46158 | 2015-12-01 |
| 1598100323 | William Oh | Colon & Rectal Surgery | 1215 Hadley Rd Ste 201, Mooresville, IN 46158 | 2013-05-07 |
| 1134405855 | Antonios Spiros Kantzavelos | Pharmacist | 115 Fields Road, Mooresville, IN 46158 | 2011-10-26 |
| 1588940308 | Sarah E Grindle | Pharmacist | 115 Fields Rd., Mooresville, IN 46158 | 2011-10-25 |
| 1487884805 | Abundant Life Chiropractic | Chiropractor | 902 N Old State Rd 67, Mooresville, IN 46158 | 2009-07-20 |
| 1770614760 | W F Kirby | Optometrist | 11625 N Oldfield Ln, Mooresville, IN 46158 | 2007-03-08 |
| 1730269192 | Travis L Bauer | Dentist | 420 S Indiana St, Mooresville, IN 46158 | 2006-10-17 |
| 1457396707 | Sidney L Gilbert | Pediatrics | 100 Town Center Drive, Suite B, Mooresville, IN 46158 | 2006-06-19 |
| Find all providers in zip 46158 | ||||
| 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 |
|---|---|---|---|---|
| 1467066993 | Lisa Wolf | Dietitian, Registered | 914 Muirfield Dr, Mooresville, NC 28115-3447 | 2020-09-02 |
| 1558981563 | Pure Nutrition and Wellness, LLC | Dietitian, Registered | 125 N Cromwell Dr, Mooresville, NC 28115-2979 | 2020-04-20 |
| 1972093151 | Melissa Murphy Crowson | Dietitian, Registered | 143 Village View Dr Ste 405, Mooresville, NC 28117-0042 | 2018-05-14 |
| 1417497363 | Annsley Kennerly Ulrich | Dietitian, Registered | 145 Fernbrook Dr, Mooresville, NC 28117-4403 | 2017-02-26 |
| 1881210987 | Nicole R Elliott | Dietitian, Registered | 132 Joe Knox Ave, Mooresville, NC 28117-9202 | 2020-06-24 |
| 1235696642 | Corinne Spiczenski | Dietitian, Registered | 131 Medical Park Rd Ste 303, Mooresville, NC 28117-8525 | 2019-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043002 | Lauren Neuenschwander | Dietitian, Registered | 10017 Schuyler Ct, Fort Wayne, IN 46804-4377 | 2020-11-07 |
| 1457950099 | Pablo C Torres Aguilar | Dietitian, Registered | 745 Agriculture Mall Dr Ofc B239, West Lafayette, IN 47907-2009 | 2020-10-24 |
| 1669079562 | Michele Murphy Wise | Dietitian, Registered | 5105 Woodmere Ct, Valparaiso, IN 46383-6672 | 2020-10-04 |
| 1760099956 | Jessica Thornton | Dietitian, Registered | 5919 Pine Bluff Dr, Avon, IN 46123-6681 | 2020-09-30 |
| 1194332346 | Nutrition With Megan, LLC | Dietitian, Registered | 1950 East Greyhound Pass, Suite 18 #179, Carmel, IN 46033-7730 | 2020-09-30 |
| 1114533445 | Barissa Larson | Dietitian, Registered | 12192 Hoosier Rd, Fishers, IN 46037-9419 | 2020-09-22 |
| 1427664291 | Michelle Graves | Dietitian, Registered | 8505 N Clearview Drive, Mccordsville, IN 46055 | 2020-09-17 |
| 1174138077 | Monica Coffey | Dietitian, Registered | 2673 E 100 N, Anderson, IN 46012-9684 | 2020-09-09 |
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1477167153 | Kayla E King | Dietitian, Registered | 864 S Basswood Dr Apt D, Bloomington, IN 47403-2968 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
| City | MOORESVILLE |
| Zip Code | 46158 |
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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.