Active NPI
Andria Marie Clark, MS, RDN
- Registered Dietitian
- Bend, OR
National Provider Identifier
1376211797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 2200 NE Professional CT
Bend, OR 97701-6063 - Phone
- (541) 389-6313
- NPI assigned
- Aug 31, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
2200 NE Professional CT
Bend, OR 97701-6063
Mailing address
2200 NE Professional CT
Bend, OR 97701-6063
Phone (541) 389-6313
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)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andria Clark RDN LLC | Dietitian, Registered | Current | Accepting new patients |
| Central Oregon Pediatric Associates Subspecialty | Past | Accepting new patients | |
| Central Oregon Pediatric Associates | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Bend, OR
- NPI 1457337834
-
- Pediatrics Physician
- Bend, OR
- NPI 1053153452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1376211797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 NE PROFESSIONAL CT",
"city": "BEND",
"state": "OR",
"postal_code": "977016063",
"telephone_number": "541-389-6313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 NE PROFESSIONAL CT",
"city": "BEND",
"state": "OR",
"postal_code": "977016063",
"telephone_number": "541-389-6313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "ANDRIA",
"middle_name": "MARIE",
"credential": "MS, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-31",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.