KENDRA M CLARK (NPI# 1457491870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457491870 |
| Entity Type | Individual |
| Full Name | KENDRA M CLARK |
| Credential | RD,LDN |
| Practice Address |
501 S Union Ave Food and Nutrition Department Havre De Grace MD 21078-3409 |
| Practice Telephone | 4438435262 |
| Practice Fax Number | 4436432170 |
| Mailing Telephone | 4438435262 |
| Mailing Fax Number | 4436432170 |
| Enumeration Date | 2007-02-07 |
| 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 | D02324 | MD | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821284787 | Kendra Marie Clark | Physician Assistant | 7782 E Fledgling Dr, Scottsdale, AZ 85255-7716 | 2007-09-24 |
| 1831738087 | Kendra Nicole Clark | Dentist | 3880 Hulen St Ste 310, Fort Worth, TX 76107-7274 | 2020-01-04 |
| 1831661958 | Kendra Clark | Case Manager/Care Coordinator | 455 E Main St, East Dundee, IL 60118-1529 | 2018-12-31 |
| 1942590005 | Kendra E. Clark | Case Manager/Care Coordinator | 2600 E 18th St, Cheyenne, WY 82001-5511 | 2011-04-11 |
| Street Address |
501 S UNION AVE FOOD AND NUTRITION DEPARTMENT |
| City | HAVRE DE GRACE |
| State | MD |
| Zip Code | 21078-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589533 | Harford Memorial Hospital | General Acute Care Hospital | 501 S Union Ave, Havre De Grace, MD 21078-3409 | 2005-06-24 |
| 1588286520 | Antonio W Herold | Nurse Practitioner | 501 S Union Ave, Havre De Grace, MD 21078-3409 | 2020-05-13 |
| 1689199259 | Katharine Sewell | Nurse Practitioner | 501 S Union Ave, Havre De Grace, MD 21078-3409 | 2017-08-04 |
| 1013372705 | Constance Noll | Nurse Practitioner | 501 S Union Ave, Havre De Grace, MD 21078-3409 | 2015-12-22 |
| 1073991469 | Laura Nengel | Pharmacist | 501 S Union Ave, Havre De Grace, MD 21078-3409 | 2015-05-18 |
| 1780087213 | Audrey Forka | Nurse Practitioner | 501 S Union Ave, Behavioral Health Unit, Havre De Grace, MD 21078-3409 | 2014-09-29 |
| 1679973382 | Brandon Phillips | Nurse Practitioner | 501 S Union Ave, Havre De Grace, MD 21078-3409 | 2014-08-29 |
| 1619230539 | Pamela J Llewellyn | Social Worker | 501 S Union Ave, Havre De Grace, MD 21078-3409 | 2012-06-18 |
| 1467734434 | David J Kitchen | Nurse Practitioner | 501 S Union Ave, Wound Care Clinic, Havre De Grace, MD 21078-3409 | 2011-09-15 |
| 1114206620 | Sara Marie Hickey | Nurse Practitioner | 501 S Union Ave, Havre De Grace, MD 21078-3409 | 2011-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265076327 | Shannon Mona Lane | Social Worker | [email protected], 609 Peace Chance Dr., Havre De Grace, MD 21078 | 2019-11-01 |
| 1134699788 | Amanda Graziano | Speech-Language Pathologist | 201 Oakington Rd, Havre De Grace, MD 21078 | 2018-11-27 |
| 1689111551 | Barbara Rene-darbouze | Counselor | 400 Lewis Street, Havre De Grace, MD 21078 | 2017-01-30 |
| 1598136459 | Proud and Positive Treatment Services Inc. | Clinic/Center | 602 Revolution St., Suite 103, Havre De Grace, MD 21078 | 2015-10-16 |
| 1427426337 | Leodegario Ayson Najera Sr. | Surgery | 121 Flying Ebony Place, Havre De Grace, MD 21078 | 2015-09-09 |
| 1669857538 | Connie Dausch | Counselor | 100 St John Street, Suite 1, Havre De Grace, MD 21078 | 2015-07-21 |
| 1659777225 | Doris Stacy Fair | Counselor | 501 South Union Ave., Harford Memorial Hospital, Havre De Grace, MD 21078 | 2014-11-10 |
| 1871995860 | Faith Ku | Pharmacist | 1000 Pulaski Highway, Havre De Grace, MD 21078 | 2014-09-22 |
| 1376889121 | Lorien Life Center Harford II, Inc. | Skilled Nursing Facility | 1501 Blenheim Farm Lane, Havre De Grace, MD 21078 | 2012-12-26 |
| 1396000790 | Pdom Havre De Grace | Dentist | 2021 Pulaski Highway Units A and B, Havre De Grace, MD 21078 | 2012-07-11 |
| Find all providers in zip 21078 | ||||
| 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 |
|---|---|---|---|---|
| 1922609791 | Emily Chapman | Dietitian, Registered | 8901 Rockville Pike Rm 348, Bethesda, MD 20889-0001 | 2020-11-06 |
| 1629679436 | Anna Carey Smith | Dietitian, Registered | 8901 Rockville Pike Rm 3103, Bethesda, MD 20889-0001 | 2020-11-06 |
| 1124629761 | Chantelle A Raines | Dietitian, Registered | 4560 Crain Hwy Ste 1, White Plains, MD 20695-3084 | 2020-11-02 |
| 1295336881 | Luminita Alina Bota | Dietitian, Registered | 4560 Crain Hwy Ste 101, White Plains, MD 20695-3084 | 2020-11-02 |
| 1174123962 | Rachel Coury | Dietitian, Registered | 539 Allegheny Ave, Towson, MD 21204-4233 | 2020-10-29 |
| 1699373761 | Bailey Elizabeth Saneman | Dietitian, Registered | 2102 Wiley Rd, Jarrettsville, MD 21084-1801 | 2020-10-12 |
| 1770180176 | Nu Flora LLC | Dietitian, Registered | 10904 Gunpowder Dr, Fort Washington, MD 20744-4155 | 2020-10-08 |
| 1407453228 | Caroline Pearson Tussing | Dietitian, Registered | 11237 Greenspring Ave, Lutherville Timonium, MD 21093-3510 | 2020-10-05 |
| 1568069557 | Huong Nguyen | Dietitian, Registered | 2262 Audrey Manor Ct, Waldorf, MD 20603-4918 | 2020-10-03 |
| 1316544562 | Paige Kalyani | Dietitian, Registered | 118 E Oak Ridge Dr Ste 1100, Hagerstown, MD 21740-7793 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | HAVRE DE GRACE |
| Zip Code | 21078 |
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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.