MS. KATHRYN M CLARK (NPI# 1992745954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992745954 |
| Entity Type | Individual |
| Full Name | MS. KATHRYN M CLARK |
| Other Name | KATIE M CLARK |
| Credential | MPH, RD |
| Practice Address |
221 Island Ave Suite 101 San Diego CA 92101-6936 |
| Practice Telephone | 6192558855 |
| Practice Fax Number | 8588761944 |
| Mailing Telephone | 6192558855 |
| Mailing Fax Number | 8588761944 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2008-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 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 |
| 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 |
| 1013292218 | Kathryn Clark | Pharmacist | 1000 Hugh Ward Blvd, Flowood, MS 39232-6600 | 2011-10-19 |
| Street Address |
221 ISLAND AVE SUITE 101 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92101-6936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861644932 | Matthew Quillen | Dentist | 221 Island Ave, San Diego, CA 92101-6936 | 2008-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
| 1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
| 1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
| 1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
| 1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
| 1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
| Find all providers in zip 92101 | ||||
| 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 |
|---|---|---|---|---|
| 1336749449 | Sd Nutrition Group | Dietitian, Registered | 4295 Gesner St Ste 3a2, San Diego, CA 92117-6646 | 2020-10-28 |
| 1629685987 | Erin Reeves | Dietitian, Registered | 8701 Lake Athabaska Way, San Diego, CA 92119-2825 | 2020-09-29 |
| 1033721907 | Feeding Your Soul Nutrition, LLC | Dietitian, Registered | 10622 Golden Willow Unit 125, San Diego, CA 92130-4930 | 2020-08-20 |
| 1043821333 | Tammy Manse | Dietitian, Registered | 2166 Pine St, San Diego, CA 92103-1523 | 2020-08-11 |
| 1992315691 | Dawn Michelle Rutherford | Dietitian, Registered | 4320 Viewridge Ave, San Diego, CA 92123-1690 | 2020-08-06 |
| 1821606344 | Andrea Michelle Kent | Dietitian, Registered | 5305 Cass St, San Diego, CA 92109-1207 | 2020-07-21 |
| 1841808003 | Sapna Bhalsod | Dietitian, Registered | 4816 W Mountain View Dr Apt 6, San Diego, CA 92116-1758 | 2020-07-14 |
| 1053937557 | Nicole Gomez | Dietitian, Registered | 4965 Corlita Ct, San Diego, CA 92122-3930 | 2020-06-19 |
| 1992320154 | Sarah Jamila Venters | Dietitian, Registered | 10379 Westward Ct, San Diego, CA 92131-6152 | 2020-06-13 |
| 1366066847 | Kathryn Baker Ward | Dietitian, Registered | 4321 Maryland St, San Diego, CA 92103-2333 | 2020-06-01 |
| Find all providers in SAN DIEGO | ||||
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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.