MARYBETH CLARK (NPI# 1780613141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780613141 |
| Entity Type | Individual |
| Full Name | MARYBETH CLARK |
| Credential | MS, RD |
| Practice Address |
2121 E Flamingo Rd Suite 114 Las Vegas NV 89119-5122 |
| Mailing Address |
6273 Dean Martin Dr Las Vegas NV 89118-3833 |
| Practice Telephone | 7023828841 |
| Practice Fax Number | 7023692370 |
| Mailing Telephone | 7026161605 |
| Mailing Fax Number | 7026160967 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2008-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 923323 | NV | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780994418 | Marybeth Giarla Clark | Speech-Language Pathologist | 709 E Dekalb Rd, De Kalb Junction, NY 13630-3103 | 2010-10-15 |
| 1235465014 | Marybeth Clark | Licensed Practical Nurse | 37 Dietz St, Oneonta, NY 13820-1882 | 2009-10-28 |
| Street Address |
2121 E FLAMINGO RD SUITE 114 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-5122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043297732 | Uday R Saraiya | Internal Medicine | 2121 E Flamingo Rd, Las Vegas, NV 89119-5124 | 2005-12-23 |
| 1669928040 | Adam Cisek | Dietitian, Registered | 2121 E Flamingo Rd, Suite 110, Las Vegas, NV 89119-5122 | 2016-08-26 |
| 1588021612 | Rickelle Tallent | Dietitian, Registered | 2121 E Flamingo Rd, Suite 110, Las Vegas, NV 89119-5122 | 2016-01-20 |
| 1295147726 | Andrea Price | Dietitian, Registered | 2121 E Flamingo Rd, 114, Las Vegas, NV 89119-5122 | 2014-06-02 |
| 1770903460 | Jenna Senstock | Dietitian, Registered | 2121 E Flamingo Rd, Suite 114, Las Vegas, NV 89119-5122 | 2014-04-21 |
| 1891098760 | Lance D Mayor, Md Ltd | Internal Medicine | 2121 E Flamingo Rd, 202, Las Vegas, NV 89119-5122 | 2010-12-14 |
| 1083843049 | Dianne Cyrkiel | Clinical Nurse Specialist | 2121 E Flamingo Rd, #100, Las Vegas, NV 89119-5122 | 2009-07-10 |
| 1417113119 | Amy L Levin | Surgery | 2121 E Flamingo Rd, Suite 200, Las Vegas, NV 89119-5122 | 2008-08-01 |
| 1023163011 | Lance David Mayor | Internal Medicine | 2121 E Flamingo Rd, Ste 202, Las Vegas, NV 89119-5124 | 2007-01-23 |
| 1053342485 | Leroy Bernstein | Pediatrics | 2121 E Flamingo Rd, Suite 100, Las Vegas, NV 89119-5122 | 2006-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| 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 |
|---|---|---|---|---|
| 1780297077 | Alexa Eisenberg | Dietitian, Registered | 4227 Pacifico Ln, Las Vegas, NV 89135-2525 | 2020-08-26 |
| 1881203552 | Serena Marie Berman | Dietitian, Registered | 1810 E Sahara Ave Ste 122, Las Vegas, NV 89104-3707 | 2020-07-28 |
| 1689292054 | Jessica Ann Galland | Dietitian, Registered | 1054 Dancing Vines Ave, Las Vegas, NV 89183-6320 | 2020-07-11 |
| 1497378723 | Nutrition 4 Body and Mind LLC | Dietitian, Registered | 6671 S. Las Vegas Blvd., Bldg. D, Suite 210, Las Vegas, NV 89119-3273 | 2020-05-21 |
| 1932738242 | Nicole Caoile | Dietitian, Registered | 8352 W Warm Springs Rd Ste 300, Las Vegas, NV 89113-3631 | 2020-04-07 |
| 1104463124 | Zenaida Huynh | Dietitian, Registered | 6888 Crimson Horse Ct, Las Vegas, NV 89148-5144 | 2019-12-09 |
| 1164082053 | Mary Joy Inoceda De Guzman-walters | Dietitian, Registered | 11768 Via Esperanza Ave, Las Vegas, NV 89138 | 2019-06-13 |
| 1194382556 | Marcelo Bellatti | Dietitian, Registered | 5600 Spring Mountain Rd Ste 106, Las Vegas, NV 89146-8822 | 2019-05-21 |
| 1538628672 | Synergy Nutrition LLC | Dietitian, Registered | 3651 Lindell Rd Ste D263, Las Vegas, NV 89103-1254 | 2019-03-18 |
| 1356811517 | Hailee Brill | Dietitian, Registered | 9492 Cantata Crest Ct, Las Vegas, NV 89178-3203 | 2018-11-30 |
| Find all providers in LAS VEGAS | ||||
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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.