Ryleigh Clark, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2022033517 Issued in MO

Practice address

960 E Walnut Lawn St Ste 203
Springfield, MO 65807-7865

Phone

(417) 269-3900

NPI assigned

Sep 27, 2022

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)

Enrolled

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1104540871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 E WALNUT LAWN ST STE 203",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077865",
            "telephone_number": "417-269-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E WALNUT LAWN ST STE 203",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077865",
            "telephone_number": "417-269-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "RYLEIGH",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2022033517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lamont L. Clark, M.A.-CCC-SLP
• Laura D Clark, FNP
• Marti S Clark, CCC-SLP
• Micah Clark, LPC
• Riki Lee Clark, PMHNP
• Clarke Surgical Center, L.L.C.
• Lindsey Clarke
• Michael S Clarke, M.D.
• Brandi Clary, MS CCC SLP
• Dana L. Clawson, CRNA

• All providers in Springfield, MO
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.