SUSAN B CLARK MS, RD, LD, CDE
NPI 1124676663
Dietitian, Registered in Rexburg, ID

Q: What is Susan Clark's NPI number?

The NPI number for Susan Clark is 1124676663. It was assigned to this individual provider in the NPPES registry on August 28, 2019.

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 November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 August 28, 2019

393 E 2ND N, REXBURG, ID 83440(208) 356-5401 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 24, 2025, Aug 28, 2019 (2 updates tracked since 2019).

On this page

About Susan B Clark Ms, Rd, Ld, Cde NPPES

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

SUSAN B CLARK MS, RD, LD, CDE (NPI 1124676663) is an individual dietitian, registered in Rexburg, Idaho, licensed in Idaho (D-393) and active in the NPI registry since August 2019. She maintains a secondary practice location in Rexburg.

NPPES Registry Identity

NPI1124676663

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameSUSAN B CLARKCredential: MS, RD, LD, CDE

Location Address393 E 2ND NRexburg, ID 83440-1605

Mailing Address450 E Main StRexburg, ID 83440-2048 · (208) 359-6522

Phone(208) 356-5401

Sole ProprietorNo

Enumeration DateAugust 28, 2019

Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration

NPPES CertifiedNovember 24, 2025

✔ NPI 1124676663 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 ID · D-393

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.

393 E 2ND N, Rexburg, ID 83440

Open in Google Maps ↗

Secondary Practice Location 1

Location 1450 E Main StRexburg, ID 83440-2048 · Phone (208) 359-6522

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, Select Health.Insurance ›

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.

DILLON RHET MERRILL MOTRL

Occupational Therapist

393 E 2ND N
REXBURG, ID 83440

Madison County (208) 354-9570

ADRIANN J WILCOX FNP

Nurse Practitioner

393 E 2ND N
REXBURG, ID 83440

Madison County (208) 356-5401

COREY T RAMMELL MD

Family Medicine

393 E 2ND N
REXBURG, ID 83440

Madison County (208) 356-3691

MRS. SHARON JOYCE REASER MFTI

Marriage & Family Therapist

393 E 2ND N
REXBURG, ID 83440

Madison County (208) 359-4840

MR. JEFFREY D. ANDERSON MS, CCC-SLP

Speech-Language Pathologist

393 E 2ND N
REXBURG, ID 83440

Madison County (208) 359-9570

MS. GAIL ANN KISLING M.S., CCC-SLP

Speech-Language Pathologist

393 E 2ND N
REXBURG, ID 83440

Madison County (208) 359-9570

REXBURG MEDICAL CENTER

Family Medicine

393 E 2ND N
REXBURG, ID 83440

Madison County (208) 356-5401

CENTERPOINT COUNSELING SERVICES, LLC

Community/Behavioral Health

393 E 2ND N
REXBURG, ID 83440

Madison County (208) 359-4840

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 1124676663. It was assigned to this individual provider in the NPPES registry on August 28, 2019.

Where is Susan Clark located?

Susan Clark practices at 393 E 2nd N, Rexburg, ID 83440. The listed phone number is (208) 356-5401.

What is Susan Clark's specialty?

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

What insurance does Susan Clark accept?

Health plans from Providence Health Plan and Select Health list Susan Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Clark was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.