Emma Grace Janeway Clinkingbeard, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2019028506 Issued in MO

Practice address

222 S Meramec Ave Ste 202
Saint Louis, MO 63105-3514

Phone

(719) 440-8794

NPI assigned

Mar 15, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Emma Clinkingbeard Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Tasty Balance LLC

  • Registered Dietitian
  • Prairie Village, KS
  • NPI 1346835832

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1417605841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 NASHVILLE AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631393427",
            "telephone_number": "719-440-8794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S MERAMEC AVE STE 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631053514",
            "telephone_number": "719-440-8794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6510 Nashville Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631393427",
            "country_code": "US",
            "telephone_number": "719-440-8794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLINKINGBEARD",
        "first_name": "EMMA GRACE",
        "middle_name": "JANEWAY",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "2700",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2019028506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "CLINKINGBEARD",
            "credential": "MS, RD, LD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Clinical Consultants Group
• Clinical Medical Services LLC
• Clinical Neurology, Inc
• Clinical Research Associates, PC (Long Term Psychiatric Management)
• Clinical Support Services, LLC
• Clinstaff Plus, LLC
• Pennie Denise Clinton
• Rodney Norman Clinton
• Monique Rochelle Clintsman, FNP-C
• Emily Anne Cloessner, MD

• Registered Dietitian in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.