Active NPI
Joyce Clark, RD CDN
- Registered Dietitian
- Mt Kisco, NY
National Provider Identifier
1124088174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 003813
- Practice address
- 400 East Main Street
Northern Westchester Hospital Nutrional Services Dept
Mt Kisco, NY 10549 - Phone
- (914) 666-1465
- Fax
- (914) 666-1787
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 003813 | NY | |
| Registered Dietitian | 133V00000X | 003813 | NY | Primary |
Addresses
Primary practice location
400 East Main Street
Northern Westchester Hospital Nutrional Services Dept
Mt Kisco, NY 10549
Mailing address
400 East Main Street
Northern Westchester Hospital Attn Medical Affairs
Mt Kisco, NY 10549
Phone (914) 242-8318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209686400000",
"number": "1124088174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 EAST MAIN STREET",
"address_2": "NORTHERN WESTCHESTER HOSPITAL ATTN MEDICAL AFFAIRS",
"city": "MT KISCO",
"state": "NY",
"postal_code": "10549",
"telephone_number": "914-242-8318",
"fax_number": "914-666-1965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 EAST MAIN STREET",
"address_2": "NORTHERN WESTCHESTER HOSPITAL NUTRIONAL SERVICES DEPT",
"city": "MT KISCO",
"state": "NY",
"postal_code": "10549",
"telephone_number": "914-666-1465",
"fax_number": "914-666-1787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "JOYCE",
"credential": "RD CDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2008-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "003813",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "003813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.