Individual provider

Theresa Clark, MSRD,C.D.E., L.D.

Registered Dietitian Medicare enrolled

Theresa Clark, MSRD,C.D.E., L.D. is a Registered Dietitian in Hopkinsville, KY, registered under NPI 1013120948. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 530 NOEL AVE, Hopkinsville, KY 42240. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

530 NOEL AVE, Hopkinsville, KY 42240 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
KY-0517 KY Registered Dietitian primary

This provider holds licence KY-0517 issued in KY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Registered Dietitian Or Nutrition Professional
PAC ID
3678754892

Medicare enrolment is recorded as approved under the provider type Practitioner - Registered Dietitian Or Nutrition Professional. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Dietitian, Registered covers

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. NUCC Health Care Provider Taxonomy, code 133V00000X
Dietary & Nutritional Service Providers Dietitian, Registered

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1013120948 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 7, 2007
Last updatedAug 5, 2016
StatusActive
Sole proprietorYes
CredentialMSRD,C.D.E., L.D.
Practice address 530 NOEL AVE
Hopkinsville, KY 42240
(270) 707-0060
Fax (270) 707-0068
Other identifiers 38364492 · TAX ID NO. (KY)
KY-0517 · LICENSE DIETITIAN (KY)
9000505900 (KY)
This record was last updated on Aug 5, 2016, roughly 10 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1013120948 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 1 3 1 2 0 9 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 2 3 2 2 0 9 8

Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1013120948?
NPI 1013120948 is the National Provider Identifier assigned to Theresa Clark, MSRD,C.D.E., L.D. in Hopkinsville, KY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Registered Dietitian cover?
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…
How do I contact Theresa Clark, MSRD,C.D.E., L.D.?
The phone number on file with NPPES is (270) 707-0060, last updated Aug 5, 2016. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Theresa Clark, MSRD,C.D.E., L.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1013120948 a valid number?
Yes. 1013120948 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.