MRS. THERESA S. CLARK MSRDC.D.E. L.D. NPI 1013120948

NPI Details

MRS. Theresa S. Clark, MSRD,C.D.E., L.D. is a dietitian registered in Hopkinsville, KY with 38 years of experience. The provider is 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. MRS. Theresa S. Clark, MSRD,C.D.E., L.D. NPI is 1013120948. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

530 NOEL AVE
HOPKINSVILLE, KY
ZIP 42240-386
Phone: (270) 707-0060
Fax: (270) 707-0068

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face wi (HCPCS:G0270)
• Therapy procedure reassessment for nutrition management, each 15 minutes (HCPCS:97803)
• Therapy procedure for nutrition management, each 15 minutes (HCPCS:97802)

The enumeration date for this NPI number is 5/7/2007 and was last updated on 8/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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