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Active NPI 1801230685 Individual Practitioner Male Practitioner

Jonathan Shane Clack , MS, RD, LD

Dietitian, Registered • Weatherford, TX

Professional Overview & Biography Verified Profile Summary

Jonathan Clack, MS, RD, LD is a registered healthcare professional specializing in Dietitian, Registered in Weatherford, TX. Practice services are available at 805 TERRY TRL under active NPI credentials.

Frequently performed procedures and clinical services include medical nutrition therapy, assessment and intervention, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

805 Terry Trl

Weatherford, TX 760864601

Telephone 8176290420
Associated Practice Facility / Clinic
🏢 Clack Nutrition Facility NPI 1891128666

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Weatherford, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
8 Specialists

Practicing in Weatherford, TX (5148 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
43.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97802 Medical nutrition therapy, assessment and intervention, each 15 minutes
88 21 $50.00 $28.27

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License TX DT82634

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

1 Associated Practitioners
Bailey Clack , RD, LD, CNSC

Dietitian, Registered

NPI 1538592308

Registered Dietitian, Licensed Dietitian, CNSC

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location June 19, 2018

Registered at 805 TERRY TRL, WEATHERFORD, TX 760864601 (Tel: 8176290420)

NPI Profile Active May 25, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 25, 2016

Registered at 106 AUSTIN AVE, SUITE 107, WEATHERFORD, TX 760863353 (Tel: 8176290420)

📍
Updated Business Mailing Address May 25, 2016

Registered at 805 TERRY TRL, WEATHERFORD, TX 760864601 (Tel: 8176290420)

👤
Provider Name / Credentials Updated May 25, 2016

Recorded as JONATHAN CLACK, MS, RD, LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2016

Dietitian, Registered (License #DT82634 in TX)

🟢
Initial NPI Registration & Enumeration April 23, 2013

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: 1801230685
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2013
Last Update: June 19, 2018
Sole Proprietor: No

Mailing Address

805 Terry Trl

Weatherford, TX 760864601

Phone: 8176290420

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.