Active NPIIndividual provider

Ms. Nancy Clark, MS RD

Dietitian, Registered in Chestnut Hill, Massachusetts

NPI Number1124116116
Practice location
1300 Boylston St, Health Works Fitness Center, Chestnut Hill, MA 02467
Fax
617-795-1876
Last updated
July 8, 2007

Nancy Clark is a Dietitian, Registered based in Chestnut Hill, MA. Nancy Clark practices in Chestnut Hill, MA and has the professional credentials of MS RD. The NPI Number for Nancy Clark is 1124116116 and holds a License No. #736 (MA). The current practice location address for Nancy Clark is 1300 Boylston St, Health Works Fitness Center, Chestnut Hill, MA 02467 and can be reached out via phone at 617-383-6100 and via fax at 617-795-1876.

Provider Profile Details

NPI Number
1124116116
Provider Name
Nancy Clark
Credential
MS RD
Provider Entity Type
Individual
Gender
Female
Address
1300 Boylston St, Health Works Fitness Center, Chestnut Hill, MA 02467
Phone Number
617-383-6100
Fax Number
617-795-1876
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
October 11, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1300 Boylston St
Health Works Fitness Center
Chestnut Hill, MA 02467
Zip
02467
Phone Number
617-383-6100
Fax Number
617-795-1876
Chestnut Hill, MA 02467Get directions →

Provider Business Mailing Address Details

Address
Po Box 650124
60 Lindbergh Ave
West Newtown, MA 02465
City
West Newtown
State
MA
Zip
02465
Phone Number
617-795-1875
Fax Number
617-795-1876

License Information

License Number
#736
License State
MA
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Nancy Clark, MS RD?

The NPI number of Ms. Nancy Clark, MS RD is 1124116116. It was assigned on October 11, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Nancy Clark, MS RD?

Ms. Nancy Clark, MS RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number #736.

Where does Ms. Nancy Clark, MS RD practice?

The practice location is 1300 Boylston St, Health Works Fitness Center, Chestnut Hill, MA 02467. The office can be reached at 617-383-6100 (phone) or 617-795-1876 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124116116 directly on the NPPES registry website.

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