MARY S CLARK R.D, C.D.E - NPI 1033320965 - Dietitian, Registered in Sedro Woolley, WA

Q: What is Mary Clark's NPI number?

The NPI number for Mary Clark is 1033320965. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Q: What is Mary 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 Mary Clark was last updated on December 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

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About Mary S Clark R.d, C.d.e NPPES

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

MARY S CLARK R.D, C.D.E (NPI 1033320965) is an individual dietitian, registered in Sedro Woolley, Washington, licensed in Washington (DI00000724) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1033320965

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMARY S CLARKCredential: R.D, C.D.E

Location Address2000 HOSPITAL DRSedro Woolley, WA 98284-4327

Mailing Address719 Honeysuckle DrMount Vernon, WA 98273-6623 · (360) 424-6250

Phone(360) 856-6021

Fax(360) 856-7300

Sole ProprietorNo

Enumeration DateMay 24, 2007

Last NPPES UpdateDecember 14, 2010

✔ NPI 1033320965 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 WA · DI00000724

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.

2000 HOSPITAL DR, Sedro Woolley, WA 98284

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Other Providers at the Same Location NPPES 20

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

SKAGIT COUNTY PUBLIC HOSPITAL DISTRICT NO 304

General Acute Care Hospital (Critical Access)