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

Last updated

Aug 31, 2026By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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 (Union Cross Chiropractic)
• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.