KATHERINE SOMERS CLARK MS,RDN,CNSC,LD
NPI 1265908818
Dietitian, Registered - Nutrition, Metabolic in Joplin, MO

Active since October 22, 2018
2615 E 20TH ST, JOPLIN, MO 64804(417) 624-7546 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katherine Somers Clark Ms,rdn,cnsc,ld NPPES

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

KATHERINE SOMERS CLARK MS,RDN,CNSC,LD (NPI 1265908818) is an individual nutrition, metabolic provider in Joplin, Missouri, licensed in Missouri (2001013727) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1265908818
Entity TypeIndividualFemale
Primary Taxonomy133VN1006X
Provider Legal NameKATHERINE SOMERS CLARKCredential: MS,RDN,CNSC,LD
Location Address2615 E 20TH STJoplin, MO 64804-1039
Mailing Address2443 S Chapel RdCarthage, MO 64836-8403 · (417) 388-3812
Sole ProprietorYes
Enumeration DateOctober 22, 2018
NPI 1265908818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, Registered · Nutrition, MetabolicDietary & Nutritional Service Providers
Taxonomy Code133VN1006X
License Licensed in MO · 2001013727
Definition
A registered dietitian who achieves specialized competency in metabolic nutrition.
2615 E 20TH ST, Joplin, MO 64804

Other Identifiers 1

Other2001013727MO · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Internal Medicine
2615 E 20TH ST
JOPLIN, MO 64804
Nurse Practitioner
2615 E 20TH ST
JOPLIN, MO 64804
Hospitalist
2615 E 20TH ST
JOPLIN, MO 64804

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 Katherine Clark's NPI number?

The NPI number for Katherine Clark is 1265908818. It was assigned to this individual provider in the NPPES registry on October 22, 2018.

Where is Katherine Clark located?

Katherine Clark practices at 2615 E 20th St, Joplin, MO 64804. The listed phone number is (417) 624-7546.

What is Katherine Clark's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.

When was this NPI record last updated?

The NPPES record for Katherine Clark was last updated on October 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.