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WILLIAM ANDREW CLARK PHD, RD
NPI 1356694301
Dietitian, Registered in Johnson City, TN

Active since October 16, 2012
807 UNIVERSITY PKWY, BOX 70403, JOHNSON CITY, TN 37614(423) 439-4071(423) 439-4060 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William Andrew Clark Phd, Rd NPPES

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

WILLIAM ANDREW CLARK PHD, RD (NPI 1356694301) is an individual dietitian, registered in Johnson City, Tennessee, licensed in Tennessee (LDN2487) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1356694301
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameWILLIAM ANDREW CLARKCredential: PHD, RD
Location Address807 UNIVERSITY PKWY, BOX 70403Johnson City, TN 37614-6500
Mailing Address807 University Pkwy, Box 70403Johnson City, TN 37614-6500 · (423) 439-4071 · Fax (423) 439-4060
Phone(423) 439-4071
Fax(423) 439-4060
Sole ProprietorNo
Enumeration DateOctober 16, 2012
✔ NPI 1356694301 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 TN · LDN2487
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.
807 UNIVERSITY PKWY, Johnson City, TN 37614
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Other Identifiers 1

OtherLDN0000002487TN · St Lic

Other Providers at the Same Location NPPES 19

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

ETSU BEHAVIORAL HEALTH AND WELLNESS CLINIC
Community/Behavioral Health
807 UNIVERSITY PKWY, 139 LUCILLE CLEMENT HALL
JOHNSON CITY, TN 37614
Washington County (423) 439-7777
DUANE A. WILLIAMS PT, DSC, MA
Physical Therapist
807 UNIVERSITY PKWY, BOX 70403
JOHNSON CITY, TN 37614
Washington County (423) 439-4071
DR. JON R. WEBB PH.D.
Psychologist (Clinical)
807 UNIVERSITY PKWY, 139 LUCILLE CLEMENT HALL
JOHNSON CITY, TN 37614
Washington County (423) 439-7777
DR. PATRICIA A. CHASE PH.D., CCC-A
Audiologist
807 UNIVERSITY PKWY, LAMB HALL ROOM 361
JOHNSON CITY, TN 37614
Washington County (423) 439-4584
JESSICA FRESHOUR PHARMD
Pharmacist
807 UNIVERSITY PKWY, MAPLE AVENUE, BUILDING 7, SUITE 312
JOHNSON CITY, TN 37614
Washington County (423) 439-6742
KEATON STEELE ANDRUS PHARMD
Student in an Organized Health Care Education/Training Program
807 UNIVERSITY PKWY
JOHNSON CITY, TN 37614
Washington County (423) 439-2068
DR. PEGGY JOYCE CANTRELL
Psychologist (Clinical)
807 UNIVERSITY PKWY, ETSU CAMPUS
JOHNSON CITY, TN 37614
Washington County (423) 439-7777
MARY JO DAVENPORT PT, MS, PHD
Physical Therapist
807 UNIVERSITY PKWY, BOX 70403
JOHNSON CITY, TN 37614
Washington County (423) 439-4071

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 William Clark's NPI number?

The NPI number for William Clark is 1356694301. It was assigned to this individual provider in the NPPES registry on October 16, 2012.

Where is William Clark located?

William Clark practices at 807 University Pkwy Box 70403, Johnson City, TN 37614. The listed phone number is (423) 439-4071.

What is William 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 William Clark was last updated on October 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.