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MRS. HEIDI LYNN CLARK RD
NPI 1720154701
Dietitian, Registered in Travis Afb, CA

Active since November 28, 2006
60 MDG/MDTS, 101 BODIN CIRCLE, TRAVIS AFB, CA 94535(707) 423-3665 Get Directions Write a Review

NPPES record last updated: August 4, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Heidi Lynn Clark Rd NPPES

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

MRS. HEIDI LYNN CLARK RD (NPI 1720154701) is an individual dietitian, registered in Travis Afb, California and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1720154701
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. HEIDI LYNN CLARKCredential: RD
Location Address60 MDG/MDTS, 101 BODIN CIRCLETravis Afb, CA 94535-1809
Mailing Address60 Mdg/mdts, 101 Bodin CircleTravis Afb, CA 94535-1809 · (707) 423-3665
Phone(707) 423-3665
Sole ProprietorYes
Enumeration DateNovember 28, 2006
Last NPPES UpdateAugust 4, 2015
✔ NPI 1720154701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.
60 MDG/MDTS, Travis Afb, CA 94535
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Other Providers at the Same Location NPPES

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

SHANCELINE ESOM TEBO
Pharmacist
60 MDG/MDTS, 101 BODIN CIRCLE
TRAVIS AFB, CA 94535
Solano County (707) 423-7657

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 Heidi Clark's NPI number?

The NPI number for Heidi Clark is 1720154701. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Heidi Clark located?

Heidi Clark practices at 60 Mdg/Mdts 101 Bodin Circle, Travis Afb, CA 94535. The listed phone number is (707) 423-3665.

What is Heidi 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 Heidi Clark was last updated on August 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.