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ZACHARY CLARK MS, RDN, LD
NPI 1467242255
Dietitian, Registered in Madisonville, KY

Active since May 07, 2025
900 HOSPITAL DR, MADISONVILLE, KY 42431(270) 543-2666(270) 543-2666 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Zachary Clark Ms, Rdn, Ld NPPES

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

ZACHARY CLARK MS, RDN, LD (NPI 1467242255) is an individual dietitian, registered in Madisonville, Kentucky, licensed in Kentucky (163117) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1467242255
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameZACHARY CLARKCredential: MS, RDN, LD
Location Address900 HOSPITAL DRMadisonville, KY 42431-1644
Mailing Address900 Hospital DrMadisonville, KY 42431-1644 · (270) 543-2666 · Fax (270) 543-2666
Phone(270) 543-2666
Fax(270) 543-2666
Sole ProprietorNo
Enumeration DateMay 7, 2025
NPPES CertifiedMay 7, 2025
✔ NPI 1467242255 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 KY · 163117
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.
900 HOSPITAL DR, Madisonville, KY 42431
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zachary Clark Ms, Rdn, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Zachary Clark reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baptist Health Deaconess Medical Group Inc
Same address
Hospitalist
900 HOSPITAL DR
Madisonville, KY 42431
  • Reassigned Medicare billing, Kentucky enrollment
  • 325 clinicians in this Medicare group
NPI 1972320430 (270) 825-5100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

CADE CUNNINGHAM
Pharmacist
900 HOSPITAL DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-5250
BRIAN CORDELL GIBBS JR. CRNA
Nurse Anesthetist, Certified Registered
900 HOSPITAL DR
MADISONVILLE, KY 42431
Hopkins County (785) 717-9504
MICHAEL DAVID CRIDER CRNA
Nurse Anesthetist, Certified Registered
900 HOSPITAL DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-5100
REGINA ANN HUNTER CSA
Specialist/Technologist, Other (Surgical Assistant)
900 HOSPITAL DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-5100
STACEY LEIGH MCGREGOR CSA
Specialist/Technologist, Other (Surgical Assistant)
900 HOSPITAL DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-5100
ASHLEIGH DENA HICKERSON APRN
Nurse Practitioner (Acute Care)
900 HOSPITAL DR
MADISONVILLE, KY 42431
Hopkins County (270) 875-3502
DEVALKUMAR JITENDRABHAI RAJYAGURU M.D.
Internal Medicine (Hematology & Oncology)
900 HOSPITAL DR
MADISONVILLE, KY 42431
Hopkins County (270) 825-5800
TRAVIS LAFFOON CRNA
Nurse Anesthetist, Certified Registered
900 HOSPITAL DR
MADISONVILLE, KY 42431
Hopkins County (270) 824-3682

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 Zachary Clark's NPI number?

The NPI number for Zachary Clark is 1467242255. It was assigned to this individual provider in the NPPES registry on May 7, 2025.

Where is Zachary Clark located?

Zachary Clark practices at 900 Hospital Dr, Madisonville, KY 42431. The listed phone number is (270) 543-2666.

What is Zachary Clark's specialty?

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

Is Zachary Clark enrolled in Medicare?

Yes. Zachary Clark is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Zachary Clark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Clark reassigns Medicare benefits to Baptist Health Deaconess Medical Group Inc (Madisonville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Zachary Clark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Zachary Clark was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.