Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568055812 Individual Practitioner Female Practitioner

Diane A. Clark , CD

Dietitian, Registered • Beloit, WI

Professional Overview & Biography Verified Profile Summary

Diane Clark, CD is a registered healthcare professional specializing in Dietitian, Registered in Beloit, WI. Practice services are available at BELOIT CLINIC under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Beloit Clinic
1905 E. Huebbe Parkway

Beloit, WI 535111842

Telephone 6083642293
Fax 6083645452
Associated Practice Facility / Clinic
🏢 Beloit Clinic, S.c. Facility NPI 1548345887

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Beloit, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
11 Specialists

Practicing in Beloit, WI (1473 Statewide)

Telehealth Adoption Rate
0.0% 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: 2021-01-28
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License WI 2104-29

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

24 Associated Practitioners
Kayce Thompson , PTA

Physical Therapy Assistant

NPI 1003930363

Physical Therapist Assistant

Jordan Hanrahan

Hospitalist

NPI 1023675840
Dr. Jaime Gonzalez , MD

Internal Medicine - Infectious Disease

NPI 1114306537

Doctor of Medicine (M.D.)

NPI 1194187690

Doctor of Medicine (M.D.)

Dr. Roy Adaniya , MD

Internal Medicine - Pulmonary Disease

NPI 1245335967

Doctor of Medicine (M.D.)

NPI 1275629628

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 18, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location February 18, 2021

Registered at BELOIT CLINIC, 1905 E. HUEBBE PARKWAY, BELOIT, WI 535111842 (Tel: 6083642293)

📍
Updated Business Mailing Address February 18, 2021

Registered at BELOIT CLINIC, 1905 E. HUEBBE PARKWAY, BELOIT, WI 535111842 (Tel: 6083642293)

👤
Provider Name / Credentials Updated February 18, 2021

Recorded as DIANE CLARK, CD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2021

Dietitian, Registered (License #2104-29 in WI)

🟢
Initial NPI Registration & Enumeration February 18, 2021

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: 1568055812
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2021
Last Update: February 18, 2021
Sole Proprietor: No

Mailing Address

Beloit Clinic, 1905 E. Huebbe Parkway

Beloit, WI 535111842

Phone: 6083642293

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.