MRS. SUSAN KAY CLARK MS, RD, IBCLC
NPI 1093721359
Dietitian, Registered in Midland, MI

Q: What is Susan Clark's NPI number?

The NPI number for Susan Clark is 1093721359. It was assigned to this individual provider in the NPPES registry on July 31, 2006. The provider is also known as Mrs. Susan B. Clark Ms, Rd, Ibclc.

Q: What is Susan 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 Susan Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 July 31, 2006

2621 W WACKERLY ST, SUITE D, MIDLAND, MI 48640(989) 832-8322 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Susan Kay Clark Ms, Rd, Ibclc NPPES

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

MRS. SUSAN KAY CLARK MS, RD, IBCLC (NPI 1093721359) is an individual dietitian, registered in Midland, Michigan and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1093721359

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. SUSAN KAY CLARKCredential: MS, RD, IBCLC

Location Address2621 W WACKERLY ST, SUITE DMidland, MI 48640-6993

Mailing Address2621 W Wackerly St, Suite DMidland, MI 48640-6993 · (989) 832-8322

Phone(989) 832-8322

Sole ProprietorNo

Enumeration DateJuly 31, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1093721359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

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.

2621 W WACKERLY ST, Midland, MI 48640

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Other Names 1

Professional Name (2)Mrs. Susan B. Clark Ms, Rd, Ibclc

Other Providers at the Same Location NPPES 5

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

PAMELA A KOHN, INC

Health Maintenance Organization

2621 W WACKERLY ST, SUITE B
MIDLAND, MI 48640

Midland County (989) 486-3741

SARAH WILLARD RN, IBCLC

Registered Nurse (Lactation Consultant)

2621 W WACKERLY ST
MIDLAND, MI 48640

Midland County (989) 798-3375

SHIRLEY ANN MOORE M.S., R.AC.

Acupuncturist

2621 W WACKERLY ST, SUITE E
MIDLAND, MI 48640

Midland County (989) 496-7472

NURTURING TRADITIONS DOULA SERVICES

Lactation Consultant, Non-RN

2621 W WACKERLY ST
MIDLAND, MI 48640

Midland County (989) 798-3375

MYMICHIGAN MEDICAL CENTER ALMA

Internal Medicine (Nephrology)

2621 W WACKERLY ST, SUITE C
MIDLAND, MI 48640

Midland County (989) 837-6505

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 Susan Clark's NPI number?

The NPI number for Susan Clark is 1093721359. It was assigned to this individual provider in the NPPES registry on July 31, 2006. The provider is also known as Mrs. Susan B. Clark Ms, Rd, Ibclc.

Where is Susan Clark located?

Susan Clark practices at 2621 W Wackerly St Suite D, Midland, MI 48640. The listed phone number is (989) 832-8322.

What is Susan Clark's specialty?

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

When was this NPI record last updated?

The NPPES record for Susan Clark was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.