Active NPI
Clyde Williams
- Nutrition Education Nutritionist
- Farmington, MO
National Provider Identifier
1417808551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- Practice address
- 304 N Long St
Farmington, MO 63640-3138 - Phone
- (573) 683-2191
- NPI assigned
- Feb 5, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | Primary |
Addresses
Primary practice location
304 N Long St
Farmington, MO 63640-3138
Mailing address
304 N Long St
Farmington, MO 63640-3138
Phone (573) 683-2191
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1417808551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 N LONG ST",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636403138",
"telephone_number": "573-683-2191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 N LONG ST",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636403138",
"telephone_number": "573-683-2191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CLYDE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-05",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.