Susan K Clark

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

SUSAN K CLARK

Practice address

310 Seminole Court
Midland, MI 48642-3572

Phone

(989) 832-8322

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Susan Kay Clark, MS, RD, IBCLC

Title

Owner

Phone

(989) 832-8322

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Lactation Mangement Services, LLC Doing business as

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347321600000",
    "number": "1679580773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SEMINOLE COURT",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486423572",
            "telephone_number": "989-832-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SEMINOLE COURT",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486423572",
            "telephone_number": "989-832-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN K CLARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2012-09-11",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-832-8322",
        "authorized_official_credential": "MS, RD, IBCLC"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4668053",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lactation Mangement Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth A Sullivan, LPC
• Shelby Sullivan
• Kim J Sumerix, MSW
• Surendra Kaul, M.D.-P.C.
• Surgical Associates of Midmichigan PC
• Lisa Ann Sutherland
• Alison P Sutliff
• SVS Vision Inc
• Michelle D Swaim
• Kathie Maelene Swan, MSW

• Registered Dietitian in Midland, MI
• Providers in Midland, MI by specialty
• Registered Dietitian in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.