Clarice Michelle McDaniels, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT88015 Issued in TX

Practice address

428 Centennial Pkwy
Tyler, TX 75703-7166

Phone

(903) 266-5900

NPI assigned

Feb 7, 2024

Last updated

Feb 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dallas Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Tyler, TX
  • NPI 1942952072
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1013771492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 NATE CIR",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "757571213",
            "telephone_number": "619-534-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 CENTENNIAL PKWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757037166",
            "telephone_number": "903-266-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIELS",
        "first_name": "CLARICE",
        "middle_name": "MICHELLE",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT88015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl B McCullumsmith, MD
• Christopher Anthony McCurrin, MD
• Brooke Nicole McDaniel, COTA
• Shannon Kay McDaniel, PT
• Tiasha McDaniel
• Arlene Kay McDonald, LPC
• Breayah McDonald
• Hanna Rose McDonald, DO
• Jackie Lynn McDonald, RN, COHN-S, CAOHC
• Joanne Marie McDonald, DNAP, CRNA

• Registered Dietitian in Tyler, TX
• Providers in Tyler, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.