S
IndividualActive
Susan B Clark
MS, RD, LD, CDE
Dietitian, Registered
NPI: 1124676663Rexburg, Idaho, 83440(208) 356-5401Female
About Susan B Clark
Susan B Clark, MS, RD, LD, CDE, is a female healthcare professional specializing in Dietitian, Registered, registered under National Provider Identifier (NPI) number 1124676663. Their primary practice is located at 393 E 2ND N, Rexburg, Idaho 83440.
Patients can reach the office at (208) 356-5401. Susan B Clark has been NPI-registered since 2019.
Doctor Details
Identity & Credentials
- NPI Number
- 1124676663
- Entity Type
- Individual
- First Name
- Susan
- Last Name
- Clark
- Credential
- MS, RD, LD, CDE
- Gender
- Female
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 393 E 2ND N
- City
- Rexburg
- State
- Idaho
- ZIP
- 83440-1605
- Country
- United States
- Phone
- (208) 356-5401
Specialty & Taxonomy
- Primary Specialty
- Dietitian, Registered
- Classification
- Dietitian, Registered
- Taxonomy Code
- 133V00000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 450 E MAIN ST
- City
- REXBURG
- State
- ID
- ZIP
- 834402048
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Susan B Clark's NPI number?
Susan B Clark's National Provider Identifier (NPI) is 1124676663. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Susan B Clark specialize in?
Susan B Clark specializes in Dietitian, Registered.
Where is Susan B Clark located?
Susan B Clark practices at 393 E 2ND N, Rexburg, Idaho 83440. You can reach them by phone at (208) 356-5401.
Does Susan B Clark accept Medicare?
Based on available data, Susan B Clark is not currently enrolled in the Medicare program.
Does Susan B Clark offer telehealth or virtual visits?
Susan B Clark does not currently offer telehealth services. In-person visits are required at their practice location.
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Susan B Clark is 1124676663.