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MS. KATERYNA VADIMOVNA CLARK M.S., R.D
NPI 1508149964
Dietitian, Registered in Bangor, ME

Active since September 22, 2011
135 GROVE ST, BANGOR, ME 04401(207) 299-4940 Get Directions Write a Review

NPPES record last updated: September 22, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Ms. Kateryna Vadimovna Clark M.s., R.d NPPES

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

MS. KATERYNA VADIMOVNA CLARK M.S., R.D (NPI 1508149964) is an individual dietitian, registered in Bangor, Maine, licensed in Maine (DI952) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1508149964
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMS. KATERYNA VADIMOVNA CLARKCredential: M.S., R.D
Location Address135 GROVE STBangor, ME 04401-4007
Mailing Address135 Grove StBangor, ME 04401-4007 · (207) 299-4940
Phone(207) 299-4940
Sole ProprietorYes
Enumeration DateSeptember 22, 2011
✔ NPI 1508149964 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 ME · DI952
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.
135 GROVE ST, Bangor, ME 04401
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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 Kateryna Clark's NPI number?

The NPI number for Kateryna Clark is 1508149964. It was assigned to this individual provider in the NPPES registry on September 22, 2011.

Where is Kateryna Clark located?

Kateryna Clark practices at 135 Grove St, Bangor, ME 04401. The listed phone number is (207) 299-4940.

What is Kateryna 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 Kateryna Clark was last updated on September 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.