MISS LATOYA M CLARK (NPI# 1689959801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689959801 |
| Entity Type | Individual |
| Full Name | MISS LATOYA M CLARK |
| Credential | RD |
| Practice Address |
650 Joel Dr Fort Campbell KY 42223-5318 |
| Practice Telephone | 2707988600 |
| Mailing Telephone | 2707988600 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2014-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| Y | 133V00000X | Dietitian, Registered | 967127 | NY | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790240810 | Latoya D. Clark | Counselor | 7725 Sandra St, Houston, TX 77016-6588 | 2019-02-02 |
| 1811412109 | Latoya Shaneese Clark | Pharmacist | 7700 Shepherdsville Rd, Louisville, KY 40219-4021 | 2017-08-07 |
| 1346566700 | Latoya Shantel Clark | Obstetrics & Gynecology | 1758 Park Pl, Suite 406, Montgomery, AL 36106-1127 | 2010-04-09 |
| 1144383795 | Latoya Denise Clark | Case Manager/Care Coordinator | 3810 Winchester Rd, Memphis, TN 38118-9007 | 2006-12-18 |
| Street Address |
650 JOEL DR |
| City | FORT CAMPBELL |
| State | KY |
| Zip Code | 42223-5318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601803 | Carol Lynn Pasewark | Counselor | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2005-07-07 |
| 1568063519 | Jeremy Schadewald | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-11-05 |
| 1578164760 | Brandi Mangan | Nurse Practitioner | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-11-04 |
| 1912506692 | Rose Dunn | Optometrist | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-10-22 |
| 1659989440 | Patrick Ogden | Student in an Organized Health Care Education/Training Program | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-17 |
| 1487262408 | John William Zamora | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-15 |
| 1295343218 | Joshua Ryan Agard | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-15 |
| 1902424435 | Shaina Escribano-miranda | Nurse Practitioner | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-10 |
| 1326665514 | Cristal Lagail Trotter | Nurse Anesthetist, Certified Registered | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-07-03 |
| 1689209728 | William James Bradshaw | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2020-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978825 | Eden Addisu Kebede | Social Worker | Ft. Campbell/bach, 650 Joel Drive, Fort Campbell, KY 42223 | 2020-09-30 |
| 1174134662 | Lucas Pepper | Dentist | Desert Storm Ave, Bldg 5580, Apo, AA 42223 | 2020-08-10 |
| 1639711203 | Travis Robert Bryant | Optometrist | 5979 Desert Storm Ave., Lapointe Health Clnic Optometry, Ft. Campbell, KY 42223 | 2019-10-15 |
| 1184138232 | Vanessa Renee Simmons | Dental Assistant | 302b Baker St, Fort Campbell, KY 42223 | 2017-11-28 |
| 1922451996 | Isabella Julson | Dental Assistant | Bldg2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 | 2016-07-14 |
| 1336595305 | Heidi Cameron | Acupuncturist | 2889b Idaho Avenue, Fort Campbell, KY 42223 | 2016-05-10 |
| 1649644154 | Nathan Silvey | Physician Assistant | Building 4179, Fort Campbell, KY 42223 | 2015-11-20 |
| 1396145306 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 2403, Air Assault St and Indiana Ave, Fort Campbell, KY 42223 | 2014-08-27 |
| 1275948564 | Rodney C Merkley | Psychologist | Building 3929, Ft. Capmbell, KY 42223 | 2014-06-25 |
| 1659785053 | Blanchfield Army Community Hospital | Clinic/Center | Bldg 6747 A Shau Valley Road, Fort Campbell, KY 42223 | 2014-06-13 |
| Find all providers in zip 42223 | ||||
| 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 |
|---|---|---|---|---|
| 1417479080 | Ryan Bradley Reist | Dietitian, Registered | 2601 Indiana Ave, Fort Campbell, KY 42223-5602 | 2017-07-14 |
| 1336208008 | Sarah L Barnes | Dietitian, Registered | 79 Bastogne Ave, Cyss Cacfp, Fort Campbell, KY 42223-5520 | 2006-12-08 |
| 1326501792 | Jason Thomas Nepa | Dietitian, Registered | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2019-04-11 |
| 1568929925 | John Ryan Boesch | Dietitian, Registered | 6102 Tennessee Ave, Fort Campbell, KY 42223-5940 | 2019-02-21 |
| 1962911479 | Erica Jarmer | Dietitian, Registered | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2017-09-27 |
| 1932641792 | Jacqueline Graf | Dietitian, Registered | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2016-11-10 |
| 1790188241 | Lilly Vanek | Dietitian, Registered | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2014-09-29 |
| 1861751547 | Christina Elaine Deehl | Dietitian, Registered | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2012-05-15 |
| 1881925170 | Todd Heer | Dietitian, Registered | 650 Joel Drive, Nutrition Care Division, Fort Campbell, KY 42223-1234 | 2010-01-26 |
| 1124354204 | Jeffery Lee Heileson | Dietitian, Registered | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2009-10-26 |
| Find all providers in FORT CAMPBELL | ||||
| City | FORT CAMPBELL |
| Zip Code | 42223 |
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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.