Zachary Clark, MS, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

163117 Issued in KY

Practice address

900 Hospital Dr
Madisonville, KY 42431-1644

Phone

(270) 543-2666

Fax

(270) 543-2666

NPI assigned

May 7, 2025

Last updated

May 7, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in KY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baptist Health Deaconess Medical Group Inc

  • Internal Medicine Physician
  • Madisonville, KY
  • NPI 1437730942
  Medicare reassignment NPD
• Baptist Health Deaconess Medical Group Inc

  • Rural Health Clinic/Center
  • Hopkinsville, KY
  • NPI 1184205643
  NPD
• Baptist Health Deaconess Medical Group Inc

  dba Baptist Health Deaconess Madisonville Hospital Based Providers

  • Hospitalist Physician
  • Madisonville, KY
  • NPI 1972320430
  NPD
• Baptist Health Madisonville Inc

  dba Baptist Health Medical Associates

  • Family Medicine Physician
  • Madisonville, KY
  • NPI 1174708259
  NPD (past)

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1467242255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 HOSPITAL DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311644",
            "telephone_number": "270-543-2666",
            "fax_number": "270-543-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 HOSPITAL DR",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311644",
            "telephone_number": "270-543-2666",
            "fax_number": "270-543-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ZACHARY",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "163117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sravya Chevuru, MD
• Joshua Clapp, M.D.
• Clay J Clardy, RPH
• Clarence Temple MD PLLC (Madisonville Orthopaedic Clinic)
• Hannah Stoltz Clark, MS, CCC-SLP
• Tammy D Clayton, PA-C
• Peter E Clemens, M.D.
• Robert Clemmons
• Laura Cobb
• Shannon Dale Coffman, PTA

• Registered Dietitian in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Registered Dietitian in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.