MRS. LESLIE MASON CLARK (NPI# 1467752436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467752436 |
| Entity Type | Individual |
| Full Name | MRS. LESLIE MASON CLARK |
| Credential | R.D., L.D. |
| Practice Address |
472 Klutey Park Plaza Dr Henderson KY 42420-3348 |
| Mailing Address |
1501 Breckenridge St Owensboro KY 42303-1054 |
| Practice Telephone | 2708263951 |
| Mailing Telephone | 2706867747 |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2010-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 2278 | KY | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801156997 | Leslie Joy Clark | Social Worker | 4830 Lakewood Dr Ste 2, Waco, TX 76710-2969 | 2012-05-22 |
| 1316406218 | Leslie Marice Clark | Student in an Organized Health Care Education/Training Program | 2900 E 29th St Ste 100, Bryan, TX 77802-2623 | 2019-03-19 |
| 1942766555 | Leslie Clark | Registered Nurse | 2715 Saint Andrews Loop Ste D, Pasco, WA 99301-3386 | 2019-02-19 |
| 1538661400 | Leslie B Clark | Physical Therapist | 2901 Ridgelake Drive, Suite 209, Metairie, LA 70002-4922 | 2018-03-06 |
| 1477966695 | Leslie Clark | Dental Hygienist | 2460 Willamette St, Eugene, OR 97405-3169 | 2014-06-05 |
| 1497092704 | Leslie A. Clark | Social Worker | 12970 W Bluemound Rd Ste 200, Elm Grove, WI 53122-2607 | 2013-01-07 |
| 1255676839 | Leslie Ann Clark | Nurse Practitioner | 10000 W Colonial Dr, Ste 386, Ocoee, FL 34761-3400 | 2012-12-07 |
| 1508112921 | Leslie Clark | Speech-Language Pathologist | 185 Charlois Blvd, Winston Salem, NC 27103-1521 | 2012-08-03 |
| 1154677011 | Leslie Clark | Physical Therapist | 2744 S 17th St, Wilmington, NC 28412-6606 | 2012-07-30 |
| 1518234327 | Leslie Erin Clark | Registered Nurse | 5671 Santa Teresa Blvd, 105, San Jose, CA 95123-6512 | 2011-11-22 |
| Street Address |
472 KLUTEY PARK PLAZA DR |
| City | HENDERSON |
| State | KY |
| Zip Code | 42420-3348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144209214 | Vicki Gentry | Nurse Practitioner | 472 Klutey Park Plaza Dr, Henderson, KY 42420-3348 | 2006-01-17 |
| 1174991988 | Jamie Rayann Baker | Dietitian, Registered | 472 Klutey Park Plaza Dr, Henderson, KY 42420-3348 | 2015-09-10 |
| 1205258670 | Regional Health Care Affiliates, Inc | Family Medicine | 472 Klutey Park Plaza Dr, Suite B, Henderson, KY 42420-3348 | 2014-01-20 |
| 1013077577 | Sue Carol Richards | Social Worker | 472 Klutey Park Plaza Dr, Henderson, KY 42420-3348 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174136337 | Virtual Consult Md LLC | Psychiatry & Neurology | 2202 Hwy 41 North, Unit E 152, Hendereson, KY 42420 | 2020-08-27 |
| 1679062731 | Maranda Wortham Miles | Nurse Practitioner | 2242 Hwy 41 North, Henderson, KY 42420 | 2018-05-04 |
| 1780124297 | Lisa Lovell | Nurse Practitioner | 230 North Green Street, Henderson, KY 42420 | 2017-03-02 |
| 1437540614 | Kala Hovermale | Social Worker | 220 2nd Street Ste 406, Henderson, KY 42420 | 2015-02-10 |
| 1972991537 | Jessica Thomas | Counselor | 230 Second St, Suite 406, Henderson, KY 42420 | 2015-01-06 |
| 1255690962 | Green River District Health Department | Public Health or Welfare | 631 N. Green Street, Henderson, KY 42420 | 2012-05-15 |
| 1588922769 | Jonathan M Mosley | Family Medicine | 1200 Barrett Blvd, Henderson, KY 42420 | 2012-04-25 |
| 1093099731 | Gregory Ayuk | Pharmacist | 402 Second Street, Henderson, KY 42420 | 2011-09-29 |
| 1437488137 | Peter J. Doll, D.p.m. | Durable Medical Equipment & Medical Supplies | 323 8th St., Henderson, KY 42420 | 2009-12-09 |
| 1760626402 | Linda Dalton Keith | Nurse Practitioner | 1704 2nd St, Henderson, KY 42420 | 2009-04-24 |
| Find all providers in zip 42420 | ||||
| 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 |
|---|---|---|---|---|
| 1366043986 | Rhiannon Garcia | Dietitian, Registered | 2146 Fountain Springs Dr, Henderson, NV 89074-1576 | 2020-11-02 |
| 1386242394 | Shannon N Gist | Dietitian, Registered | 871 Coronado Center Dr Ste 261, Henderson, NV 89052-3977 | 2020-10-12 |
| 1477190551 | Amie Bourdua | Dietitian, Registered | 2637 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052-4835 | 2019-12-07 |
| 1013550524 | Jamie Kelvington | Dietitian, Registered | 2814 Kinknockie Way, Henderson, NV 89044-0247 | 2019-10-28 |
| 1992346555 | Chelsea Marie Clarke | Dietitian, Registered | 1887 Whitney Mesa Dr # 2426, Henderson, NV 89014-2069 | 2019-10-04 |
| 1366098014 | Raiza Shipin | Dietitian, Registered | 2378 Brockton Way, Henderson, NV 89074-5459 | 2019-08-16 |
| 1104304567 | Hilary Jean Peace | Dietitian, Registered | 801 S Main St Apt D, Henderson, TX 75654-3986 | 2018-07-29 |
| 1720565914 | Madeline Belaustegui | Dietitian, Registered | 2470 W Horizon Ridge Pkwy Ste 120, Henderson, NV 89052-2733 | 2018-07-20 |
| 1205338035 | Sherry Poinier | Dietitian, Registered | 2651 Paseo Verde Pkwy Ste 180, Henderson, NV 89074-6616 | 2018-03-07 |
| 1740799915 | Jake Yarberry | Dietitian, Registered | 423 Sunburst Dr, Henderson, NV 89002-8333 | 2017-09-20 |
| Find all providers in HENDERSON | ||||
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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.