Amy Clark, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

01650 Issued in IA

Practice address

3801 S James St Ste 400
Grimes, IA 50111-5167

Phone

(515) 695-3768

Fax

(833) 719-1241

NPI assigned

Jan 24, 2007

Last updated

Dec 21, 2023By the provider in NPPES

Sex

Female

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 IA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Hy-Vee Inc

  • Community/Retail Pharmacy
  • West Des Moines, IA
  • NPI 1417121112
  Medicare reassignment
• Hy-Vee Health PC

  • Registered Dietitian
  • Des Moines, IA
  • NPI 1396511226

  Dietitian, Registered

  NPD
• Hy-Vee Health PC

  • Internal Medicine Physician
  • West Des Moines, IA
  • NPI 1558086637
  NPD
• Hy-Vee Health PC

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1184498990
  NPD
• Hy-Vee Inc

  dba Hy-Vee Pharmacy (1353)

  • Community/Retail Pharmacy
  • Knoxville, IA
  • NPI 1053353672
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1578618336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 S JAMES ST STE 400",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501115167",
            "telephone_number": "515-695-3768",
            "fax_number": "833-719-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S JAMES ST STE 400",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501115167",
            "telephone_number": "515-695-3768",
            "fax_number": "833-719-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "AMY",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "01650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CCRC of Grimes, LLC (Kennybrook Village)
• Central Iowa Hospital Corporation (Grimes Family Physicians)
• Childrens Dental Surgery Associates PLC (Cdsa)
• Childserve Homes Inc. (ChildServe Keystone Home)
• City of Grimes (Grimes Fire and Rescue Department)
• Cloud 9 Shuttles, LLC
• Compassionate Care of Des Moinesllc (Compassionate Care of Des Moines)
• Cramer Chiropractic, P.C.
• Holly Marie Crowson, D.C.
• Adam Elliott Culver, DNP

• Registered Dietitian in Grimes, IA
• Providers in Grimes, IA by specialty
• Registered Dietitian in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.