KATHRYN D CLARK (NPI# 1396837860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396837860 |
| Entity Type | Individual |
| Full Name | KATHRYN D CLARK |
| Credential | RD |
| Practice Address |
115 Porter Drive Porter Hospital Middlebury VT 05753 |
| Mailing Address |
115 Porter Drive Finance Dept Middlebury VT 05753 |
| Practice Telephone | 8023884775 |
| Practice Fax Number | 8023888870 |
| Mailing Telephone | 8023885607 |
| Mailing Fax Number | 8023885654 |
| Enumeration Date | 2006-09-29 |
| 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 | 0740000038 | VT | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013467588 | Kathryn Jan Clark | Dentist | 4110 River Rd Nw, Washington, DC 20016-4618 | 2016-10-10 |
| 1568628535 | Kathryn Leigh Clark | Psychologist | 100 8th Ave, Brooklyn, NY 11215-1554 | 2008-07-30 |
| 1750449252 | Kathryn M Clark | Optometrist | 2101 Jacob St. Suite 201, Valley Prof. Center South, Wheeling, WV 26003-6390 | 2006-12-05 |
| 1790861847 | Kathryn Marie Clark | Physical Therapist | 1 Peachtree Dr, Savannah, GA 31419-1200 | 2006-10-31 |
| 1992745954 | Kathryn M Clark | Dietitian, Registered | 221 Island Ave, Suite 101, San Diego, CA 92101-6936 | 2006-06-07 |
| 1013476928 | Kathryn Clark | Student in an Organized Health Care Education/Training Program | 1 Akron General Ave, Akron, OH 44307-2432 | 2019-03-19 |
| 1861978488 | Kathryn Clark | Anesthesiology | 200 1st St Sw, Rochester, MN 55905-0001 | 2018-07-17 |
| 1750898706 | Kathryn Evalyn Clark | Student in an Organized Health Care Education/Training Program | 600 North Wolfe Street, The Johns Hopkins Hospital, Baltimore, MD 21287 | 2017-12-29 |
| 1891193736 | Kathryn M Clark | Community Health Worker | 325 Sw Frazier Ave, Topeka, KS 66606-1963 | 2014-12-09 |
| 1821434317 | Kathryn Anne Clark | Counselor | 3716 Ne Martin Luther King Jr Blvd, Portland, OR 97212-1111 | 2013-05-11 |
| Street Address |
115 PORTER DRIVE PORTER HOSPITAL |
| City | MIDDLEBURY |
| State | VT |
| Zip Code | 05753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740291400 | Porter Hospital Inc | General Acute Care Hospital | 115 Porter Drive, Middlebury, VT 05753 | 2006-08-10 |
| 1619243110 | Elya Horattas Vasiliou | Surgery | 115 Porter Drive, Middlebury, VT 05753-1619 | 2012-03-29 |
| 1750426631 | Eric Christopher Berg | Nurse Anesthetist, Certified Registered | 115 Porter Drive, Middlebury, VT 05753 | 2007-02-20 |
| 1700922010 | Robert E Tillson | Nurse Anesthetist, Certified Registered | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2007-01-30 |
| 1265578777 | Porter Hospital Inc | Medicare Defined Swing Bed Unit | 115 Porter Drive, Middlebury, VT 05753 | 2007-01-30 |
| 1023180445 | Jessica H Wagener | Emergency Medicine | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-11-14 |
| 1770662322 | Deborah G Norris | Nurse Anesthetist, Certified Registered | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-11-03 |
| 1073690426 | Amanda S. Young | Emergency Medicine | 115 Porter Drive, Middlebury, VT 05753 | 2006-11-01 |
| 1780770511 | Porter Hospital Inc | Clinic/Center | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-10-05 |
| 1154413615 | Glen R Lovejoy | Emergency Medicine | 115 Porter Drive, Porter Hospital, Middlebury, VT 05753 | 2006-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760997233 | Julia M. Pipiras | Massage Therapist | 99 Maple St., Marble Works, Middlebury, VT 05753 | 2017-12-06 |
| 1487017117 | Hope W Martin | Counselor | 135 South Pleasant St., Middlebury, VT 05753 | 2016-03-31 |
| 1487052593 | Ania Mortier | Nurse Practitioner | 102 A Court St, Middlebury, VT 05753 | 2014-12-06 |
| 1427471655 | Nancy Spears | Counselor | 7 Seymour St Ste 4, Middlebury, VT 05753 | 2014-01-23 |
| 1679862676 | Daly Dental | Dentist | 152 Maple Street, Suite 201, Middlebury, VT 05753 | 2011-03-31 |
| 1033432695 | James G Daly D.d.s. | Dentist | 152 Maple St., Ste. 201, Middlebury, VT 05753 | 2010-03-10 |
| 1497986855 | Maxine Elizabeth Fidler | Acupuncturist | 31 Court Street, Middlebury, VT 05753 | 2009-08-04 |
| 1629289426 | Gary Francis Margolis | Psychologist | 302 Centeno House Route 30, Middlebury, VT 05753 | 2007-05-24 |
| 1578697884 | Elise Marie Mcclintock | Nurse Practitioner | 5110 Middlebury College, Middlebury, VT 05753 | 2007-03-16 |
| 1982735890 | Adam Brightman | Social Worker | 1740 Delong Road, Cornwall, VT 05753 | 2007-03-09 |
| Find all providers in zip 05753 | ||||
| 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 |
|---|---|---|---|---|
| 1679077754 | Violet Pastorkova-jaouen | Dietitian, Registered | 1625 Straits Tpke Ste 200, Middlebury, CT 06762-1836 | 2018-03-22 |
| 1457622318 | David Hernandez | Dietitian, Registered | 37 Porter Dr, Middlebury, VT 05753-8428 | 2012-01-24 |
| 1003192204 | Matthew Arnone | Dietitian, Registered | 10 Yale Ave, Middlebury, CT 06762-2712 | 2011-11-01 |
| 1962475871 | Maureen A Devlin | Dietitian, Registered | 590 Middlebury Rd, Middlebury, CT 06762-2554 | 2006-02-10 |
| 1396363206 | Sarah Ollayos | Dietitian, Registered | 2030 Straits Tpke, Middlebury, CT 06762-1831 | 2020-07-07 |
| 1760934020 | Kathleen Van De Weert | Dietitian, Registered | 115 Porter Dr, Nutrition Services, Middlebury, VT 05753-8423 | 2016-11-02 |
| 1598126955 | Sumra Harper-deas | Dietitian, Registered | 115 Porter Dr, Porter Medical Center, Middlebury, VT 05753-8423 | 2016-03-14 |
| 1366880759 | Haley Dienst | Dietitian, Registered | 115 Porter Dr, Middlebury, VT 05753-8423 | 2013-06-07 |
| 1497091771 | Nicole Karrat | Dietitian, Registered | 687 Straits Tpke, Suite 1a, Middlebury, CT 06762-2846 | 2012-12-14 |
| 1811260235 | Nicole Rohrig | Dietitian, Registered | 115 Porter Dr, Middlebury, VT 05753-8423 | 2012-02-15 |
| Find all providers in MIDDLEBURY | ||||
| City | MIDDLEBURY |
| Zip Code | 05753 |
Please comment or provide details below to improve the information on KATHRYN D CLARK.
| 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.