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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MRS. LEAH CLARK LDN
NPI 1215845490
Dietitian, Registered in Kernersville, NC

Active since August 31, 2026
717 GRAVES ST, KERNERSVILLE, NC 27284(336) 708-3596 Get Directions Write a Review

NPPES record added: August 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Leah Clark Ldn NPPES

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

MRS. LEAH CLARK LDN (NPI 1215845490) is an individual dietitian, registered in Kernersville, North Carolina, licensed in North Carolina (L010271) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1215845490
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. LEAH CLARKCredential: LDN
Location Address717 GRAVES STKernersville, NC 27284-3207
Mailing Address717 Graves StKernersville, NC 27284-3207 · (336) 708-3596
Phone(336) 708-3596
Sole ProprietorYes
Enumeration DateAugust 31, 2026
NPPES CertifiedAugust 30, 2026
✔ NPI 1215845490 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 NC · L010271
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.
717 GRAVES ST, Kernersville, NC 27284
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DR. JOSEPH B FONKE D.C.
Chiropractor
717 GRAVES ST
KERNERSVILLE, NC 27284
Forsyth County (336) 747-3138
MILK REMEDY LLC
Lactation Consultant, Non-RN
717 GRAVES ST
KERNERSVILLE, NC 27284
Forsyth County (336) 747-3138
MRS. KATELYN SHINN HEDRICK RDN, IBCLC
Dietitian, Registered
717 GRAVES ST
KERNERSVILLE, NC 27284
Forsyth County (336) 596-4111
VILLAGE FAMILY CHIROPRACTIC
Chiropractor
717 GRAVES ST
KERNERSVILLE, NC 27284
Forsyth County (336) 747-3138

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 Leah Clark's NPI number?

The NPI number for Leah Clark is 1215845490. It was assigned to this individual provider in the NPPES registry on August 31, 2026.

Where is Leah Clark located?

Leah Clark practices at 717 Graves St, Kernersville, NC 27284. The listed phone number is (336) 708-3596.

What is Leah 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 Leah Clark was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.