Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114366168 Individual Practitioner Female Practitioner

Kerry R Clark , RD

Dietitian, Registered • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Kerry Clark, RD is a registered healthcare professional specializing in Dietitian, Registered in Spokane, WA. Practice services are available at 101 W 8TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 W 8th Ave
Suite 1100

Spokane, WA 992042307

Telephone 5094744060
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.2 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
151 Specialists

Practicing in Spokane, WA (2154 Statewide)

Telehealth Adoption Rate
2.0% 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

CMS Verified: 2021-05-03
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License WA DI00000348

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

23 Associated Practitioners
Dr. Dawn Kopp , MD

Obstetrics & Gynecology

NPI 1053639989

Doctor of Medicine (M.D.)

Kimberly Johnson , ARNP

Nurse Practitioner - Family

NPI 1073849410

Advanced Registered Nurse Practitioner

Sheena Byerly

Genetic Counselor, MS

NPI 1194499434
Margaret Bolam , RD

Dietitian, Registered

NPI 1215124466

Registered Dietitian

Kelli Groth , RD

Dietitian, Registered

NPI 1225478175

Registered Dietitian

Dr. Robert Olson , MD

Obstetrics & Gynecology

NPI 1275583239

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated June 12, 2019

Recorded as KERRY CLARK, RD

NPI Profile Active October 15, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 15, 2015

Registered at 101 W 8TH AVE, SUITE 1100, SPOKANE, WA 992042307 (Tel: 5094744060)

📍
Updated Business Mailing Address October 15, 2015

Registered at PO BOX 421, LIBERTY LAKE, WA 990190421 (Tel: 8667472455)

👤
Provider Name / Credentials Updated October 15, 2015

Recorded as KERRY SCOTT, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2015

Dietitian, Registered (License #DI00000348 in WA)

🟢
Initial NPI Registration & Enumeration June 21, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kerry Clark. Be the first to share your experience!

Sign in to leave a review for Kerry Clark

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1114366168
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2013
Last Update: May 03, 2021
Sole Proprietor: No

Mailing Address

Po Box 421

Liberty Lake, WA 990190421

Phone: 8667472455

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.