MRS. SUSAN KAY CLARK (NPI# 1093721359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093721359 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN KAY CLARK |
| Other Name | MRS. SUSAN B. CLARK |
| Credential | MS, RD, IBCLC |
| Practice Address |
2621 W Wackerly St Suite D Midland MI 48640-6993 |
| Practice Telephone | 9898328322 |
| Mailing Telephone | 9898328322 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161950 | Susan Marie Clark | Nurse Practitioner | 674 Coral Way, Winter Springs, FL 32708-3127 | 2020-07-09 |
| 1528591575 | Susan Clark | Counselor | 604 S Walnut, Stillwater, OK 74074-4222 | 2017-04-06 |
| 1790178556 | Susan March Clark | Peer Specialist | 3277 E 2nd St, Tulsa, OK 74104-2134 | 2015-03-17 |
| 1841537990 | Susan Noble Clark | Developmental Therapist | 1730 Radcliffe Rd, Montgomery, AL 36106-2620 | 2013-01-09 |
| 1881963411 | Susan Clark | Occupational Therapy Assistant | 38 Wheeler Ave, Warwick, NY 10990-1341 | 2011-12-28 |
| 1437302684 | Susan Maslin Clark | Chiropractor | 20416 Bowfonds St, Ashburn, VA 20147-7457 | 2008-11-01 |
| 1871780940 | Susan Marie Clark | Counselor | 112 S Water St Ste B, Kent, OH 44240-3689 | 2007-10-02 |
| 1750403861 | Susan M Clark | Psychologist | 1022 Cherokee Ave, Royal Oak, MI 48067 | 2007-04-06 |
| 1598892085 | Susan L Clark | Psychiatry & Neurology | 9515 60th Ave W, Mukilteo, WA 98275 | 2007-02-28 |
| 1609968692 | Susan M Clark | Pediatrics | 1318 S Main Road, Vineland, NJ 08360 | 2006-09-28 |
| Street Address |
2621 W WACKERLY ST SUITE D |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-6993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700182037 | Shirley Ann Moore | Acupuncturist | 2621 W Wackerly St, Suite E, Midland, MI 48640-6993 | 2011-02-03 |
| 1386950160 | Pamela A Kohn, Inc | Health Maintenance Organization | 2621 W Wackerly St, Suite B, Midland, MI 48640-6993 | 2010-08-31 |
| 1922153311 | Gratiot Medical Center An Affiliate of Midmichigan Health | Internal Medicine | 2621 W Wackerly St, Suite C, Midland, MI 48640-6993 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| 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 |
|---|---|---|---|---|
| 1124637160 | Rachel Murphy | Dietitian, Registered | 4214 Andrews Highway, Suite 107, Midland, TX 79703 | 2020-07-27 |
| 1881215531 | Kacey Haycox | Dietitian, Registered | 4214 Andrews Hwy Ste 107, Midland, TX 79703-4813 | 2020-05-05 |
| 1194247205 | Jessica Theimer | Dietitian, Registered | 1700 Culver Dr, Midland, TX 79705-8301 | 2017-07-10 |
| 1588193163 | Ashleigh Partin | Dietitian, Registered | 2503 W Ohio Ave, Midland, TX 79701-5847 | 2017-06-07 |
| 1417316340 | Michelle Ivy | Dietitian, Registered | 4610 Humble Ave, Midland, TX 79707-6207 | 2016-02-20 |
| 1245668961 | Empower Nutrition Inc. | Dietitian, Registered | 3106 Humble Ave, Midland, TX 79705-8208 | 2013-10-15 |
| 1386932150 | Whitney Rae Welch | Dietitian, Registered | 3200 Bromley Pl Apt A304, Midland, TX 79705-1614 | 2011-07-14 |
| 1194043356 | Tammy Jane Wenzel | Dietitian, Registered | 6909 N Jefferson Rd, Midland, MI 48642-8217 | 2010-05-12 |
| 1972830255 | Kathleen A White | Dietitian, Registered | 2121 E Stewart Rd, Midland, MI 48640-8926 | 2009-11-07 |
| 1437319902 | Michelle Rae Weaver | Dietitian, Registered | 921 N Bentwood Dr, Apt B, Midland, TX 79703-5689 | 2008-06-10 |
| Find all providers in MIDLAND | ||||
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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.