MRS. KRISTA CLARK (NPI# 1023347481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023347481 |
| Entity Type | Individual |
| Full Name | MRS. KRISTA CLARK |
| Credential | RD, LDN, CDE |
| Practice Address |
1000 Dutch Ridge Rd Beaver PA 15009-9727 |
| Practice Telephone | 7247734761 |
| Mailing Telephone | 7247734761 |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2009-12-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DN002330 | PA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073687224 | Krista M Clark | Specialist | 810 Hadley Ave, Old Hickory, TN 37138-3121 | 2006-11-20 |
| 1114935301 | Krista Jean Clark | Physical Therapist | 210 E Main St Ste 111, Midway, UT 84049-6828 | 2006-08-03 |
| 1457811515 | Krista Noel Clark | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Ave, Cincinnati, OH 45220-2475 | 2019-03-23 |
| 1609303312 | Krista Clark | Marriage & Family Therapist | 400 Prospect Pl, Alpharetta, GA 30005-5468 | 2017-05-12 |
| 1073048567 | Krista Clark | Dietitian, Registered | 7700 University Dr, Fans, West Chester, OH 45069-2505 | 2017-04-22 |
| 1629336490 | Krista Renae Clark | Speech-Language Pathologist | 1011 Professional Blvd, Dalton, GA 30720-2506 | 2012-04-30 |
| 1962727743 | Krista M Clark | Family Medicine | 2791 N Washington St, Hedrick Family Care, Chillicothe, MO 64601-2902 | 2010-04-05 |
| 1053352187 | Krista Carrie Clark | Dietitian, Registered | 450 E 23rd St, Fremont, NE 68025-2303 | 2006-06-09 |
| Street Address |
1000 DUTCH RIDGE RD |
| City | BEAVER |
| State | PA |
| Zip Code | 15009-9727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265439608 | Susan Louise Weber | Internal Medicine | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2005-06-30 |
| 1457973364 | Gyenhyung Lee | Student in an Organized Health Care Education/Training Program | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2020-05-13 |
| 1124649892 | Reema Naman | Student in an Organized Health Care Education/Training Program | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2020-05-04 |
| 1437789534 | Hannah Louise Palochak | Physician Assistant | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2020-01-17 |
| 1326683533 | Tiffany Dawn Bartoles | Registered Nurse | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2019-11-12 |
| 1043851124 | Harleigh Solvesky | Physician Assistant | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2019-09-30 |
| 1417516543 | Sean Richard Van Aken | Student in an Organized Health Care Education/Training Program | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2019-06-12 |
| 1053979351 | Martha Diane Klingbeil | Student in an Organized Health Care Education/Training Program | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2019-05-31 |
| 1720643158 | Rachel Allison Weyant | Physician Assistant | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2019-05-01 |
| 1174091854 | Kathryn Hankins Renne | Physician Assistant | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2018-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548734494 | Renee Thomas | Registered Nurse | 659 3rd Street, Upper Suite, Beaver, PA 15009 | 2019-01-14 |
| 1275048654 | Dominic J. Deluigi Phd LLC | Psychologist | 500 Market St., Sutei 204b, Beaver, PA 15009 | 2017-12-07 |
| 1861845208 | Gary Koch | Psychologist | 500 Market St Ste 204b, Beaver, PA 15009 | 2016-07-21 |
| 1326367616 | Merakey Pennsylvania | Community/Behavioral Health | 148 Theodore Drive, Chippewa, PA 15009 | 2010-05-26 |
| 1912237215 | Sandra L. Mckeel | Counselor | 697 State Street, Vanport, PA 15009 | 2010-01-08 |
| 1790019438 | Tri-state Medical Group, Inc. | Physical Medicine & Rehabilitation | 1030 Beaner Hollow Road, Beaver Medical Commons, Beaver, PA 15009 | 2009-09-29 |
| 1700040730 | Marie R Brauch | Counselor | 697 State St, #5, Beaver, PA 15009 | 2008-07-18 |
| 1932376696 | Justin Dosch | Emergency Medicine | 1000 Dutch Run Rd, Beaver, PA 15009 | 2008-05-13 |
| 1023280492 | Paul Michael Kuzma Jr Md | Ophthalmology | 628 Market Street, Bridgewater, PA 15009 | 2008-03-26 |
| 1881877868 | Jaime Michelle Kinkead | Social Worker | 160 Third Street, Beaver, PA 15009 | 2007-12-12 |
| Find all providers in zip 15009 | ||||
| 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 |
|---|---|---|---|---|
| 1184173726 | Jennifer E Bajek | Dietitian, Registered | 1211 3rd St, Beaver, PA 15009-2530 | 2016-09-23 |
| 1871958520 | Erika Sheffield | Dietitian, Registered | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2015-12-23 |
| 1720371941 | Nicole M Gumpf | Dietitian, Registered | 246 Friendship Cir, Beaver, PA 15009-9704 | 2011-05-20 |
| 1255421624 | Leah M Lebder | Dietitian, Registered | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2006-10-13 |
| 1386730463 | Susan Moore Rodgers II | Dietitian, Registered | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2006-10-05 |
| 1235225327 | Marie Mariano | Dietitian, Registered | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2006-10-05 |
| 1679669790 | Margaret Giordano | Dietitian, Registered | 1000 Dutch Ridge Rd, Beaver, PA 15009-9727 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417593 | April Christine Hawkins | Dietitian, Registered | 408 Blacklatch Ln, Camp Hill, PA 17011-8414 | 2020-11-03 |
| 1184225757 | Aleaha Lynn Wacker | Dietitian, Registered | 95 Rocky View Dr, Hawley, PA 18428-4535 | 2020-11-02 |
| 1518568088 | Laura Rose Alfieri | Dietitian, Registered | 850 E Water Street Ext, Smethport, PA 16749-2024 | 2020-11-02 |
| 1679174122 | Erika Marie Johnson | Dietitian, Registered | 1111 Franklin St Ste 180, Johnstown, PA 15905-4341 | 2020-11-02 |
| 1184224206 | Madison Demoss | Dietitian, Registered | 43 Brinker Dr, Doylestown, PA 18901-7008 | 2020-10-28 |
| 1124628201 | Shannon Lynch | Dietitian, Registered | 8 E Pine St Apt 1, Enola, PA 17025-2827 | 2020-10-28 |
| 1205434818 | Shannan Marie Stewart | Dietitian, Registered | 770 Miles Rd Ste 1, West Chester, PA 19380-1950 | 2020-10-15 |
| 1992303135 | Sneha Lakhotia | Dietitian, Registered | 200 Possum Way, Clarks Green, PA 18411-8988 | 2020-10-10 |
| 1407453210 | Susan Anne Zikos | Dietitian, Registered | 229 Edelweiss Dr, Wexford, PA 15090-9454 | 2020-10-05 |
| 1033716832 | Anna Opalko | Dietitian, Registered | 504 Philmar Ct Apt B, Springfield, PA 19064-3065 | 2020-10-05 |
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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.