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Active NPI 1376632679 Individual Practitioner Female Practitioner

Edith Mary Clark , MBA, RD, CDE

Dietitian, Registered • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Edith Clark, MBA, RD, CDE is a registered healthcare professional specializing in Dietitian, Registered in Phoenix, AZ. Practice services are available at 4212 N 16TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4212 N 16th St

Phoenix, AZ 850165319

Telephone 6022631511
Fax 6022631619
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.4 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
417 Specialists

Practicing in Phoenix, AZ (1452 Statewide)

Telehealth Adoption Rate
3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License None 390874

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Umar Iqbal , MD

Family Medicine

NPI 1003170077

Doctor of Medicine (M.D.)

Dr. Adel Salama , MD

Internal Medicine

NPI 1003807496

Doctor of Medicine (M.D.)

Ancita Bigman , RN

Registered Nurse

NPI 1003965211

Registered Nurse

Bernadine Jones , RN

Registered Nurse - Medical-Surgical

NPI 1003970435

Registered Nurse

Myrna Sloan

Licensed Practical Nurse

NPI 1003978255
Charlotte Graham , RN

Registered Nurse - Women's Health Care, Ambulatory

NPI 1003984485

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 4212 N 16TH ST, PHOENIX, AZ 850165319 (Tel: 6022631511)

📍
Updated Business Mailing Address July 09, 2007

Registered at PO BOX 31001-0698, PASADENA, CA 911100698 (Tel: 6022631511)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as EDITH CLARK, MBA, RD, CDE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dietitian, Registered (License #390874 in None)

🟢
Initial NPI Registration & Enumeration October 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376632679
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2006
Last Update: July 09, 2007
Sole Proprietor: No

Mailing Address

Po Box 31001-0698

Pasadena, CA 911100698

Phone: 6022631511

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.