MRS. THERESA S. CLARK MSRD,C.D.E., L.D.
NPI 1013120948
Dietitian, Registered in Hopkinsville, KY

Q: What is Theresa Clark's NPI number?

The NPI number for Theresa Clark is 1013120948. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Q: What is Theresa Clark's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Clark was last updated on August 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 07, 2007Accepts Medicare Assignment

530 NOEL AVE, HOPKINSVILLE, KY 42240(270) 707-0060(270) 707-0068 Get Directions Write a Review

NPPES record last updated: August 5, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mrs. Theresa S. Clark Msrd,c.d.e., L.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. THERESA S. CLARK MSRD,C.D.E., L.D. (NPI 1013120948) is an individual dietitian, registered in Hopkinsville, Kentucky, licensed in Kentucky (KY-0517) and active in the NPI registry since May 2007. She is a graduate of Other (1987).

NPPES Registry Identity

NPI1013120948

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. THERESA S. CLARKCredential: MSRD,C.D.E., L.D.

Location Address530 NOEL AVEHopkinsville, KY 42240-1386

Mailing Address530 Noel AveHopkinsville, KY 42240-1386 · (270) 707-0060 · Fax (270) 707-0068

Phone(270) 707-0060

Fax(270) 707-0068

Sole ProprietorYes

Medical School CMSOtherGraduated 1987

Enumeration DateMay 7, 2007

Last NPPES UpdateAugust 5, 2016

✔ NPI 1013120948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in KY · KY-0517

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

530 NOEL AVE, Hopkinsville, KY 42240

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Other Identifiers 4

Medicaid9000505900KY

Medicare ID-Type UnspecifiedRD00006KY · Register Dietitian

Other38364492KY · Tax Id No.

OtherKY-0517KY · License Dietitian

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Theresa S. Clark Msrd,c.d.e., L.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678754892

PECOS Enrollment IDI20110222000341

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face wi G0270

Medical Nutrition Therapy (MNT) reassessment involves reviewing your dietary needs due to a change in your medical condition or treatment. This may include additional hours for kidney disease. This is a one-on-one, face-to-face service to ensure your diet aligns with your health needs.

584 services41 patients

Therapy procedure reassessment for nutrition management, each 15 minutes 97803

This is a process where a healthcare professional reviews your nutritional needs every 15 minutes. It's part of managing your diet to ensure optimal health. The review may involve adjusting your meal plans, evaluating your body's response to certain foods, and monitoring your overall nutrition status.

172 services41 patients

Therapy procedure for nutrition management, each 15 minutes 97802

This is a 15-minute session focused on managing your nutrition. A professional will assess your dietary habits and provide personalized advice to improve your health. It can help manage weight, control chronic diseases, and promote overall wellbeing.

44 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.76 – $162.27

Typical copayment $0.00 (range $13.19 – $40.56)

Most-billed visit code NA

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLARK & POWELL ASSOCIATES, LLC

Dietitian, Registered

530 NOEL AVE
HOPKINSVILLE, KY 42240

Christian County (270) 707-0060

CLARK & POWELL ASSOCIATES, LLC

Dietitian, Registered

530 NOEL AVE
HOPKINSVILLE, KY 42240

Christian County (270) 707-0060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Clark's NPI number?

The NPI number for Theresa Clark is 1013120948. It was assigned to this individual provider in the NPPES registry on May 7, 2007.

Where is Theresa Clark located?

Theresa Clark practices at 530 Noel Ave, Hopkinsville, KY 42240. The listed phone number is (270) 707-0060.

What is Theresa Clark's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Theresa Clark enrolled in Medicare?

Yes. Theresa Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Theresa Clark was last updated on August 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.