Leah Clark, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L010271 Issued in NC

Practice address

717 Graves St
Kernersville, NC 27284-3207

Phone

(336) 708-3596

NPI assigned

Aug 31, 2026

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1215845490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 GRAVES ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843207",
            "telephone_number": "336-708-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 GRAVES ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843207",
            "telephone_number": "336-708-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LEAH",
        "name_prefix": "Mrs.",
        "credential": "LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L010271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew On-Shing Chow, MD
• Robert John Ciaccio, RBT
• Jennifer Clapp
• Hasana Clark
• Jordan Clark
• Zadadria Clark
• Chenetta Yvonne Clarke
• Martha Mallary Clay, PA
• Clifford Arthur Nickel PC
• Patrick David Baez Clifford, LCSWA

• Registered Dietitian in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.