NPIMap

Organization Active NPI

Clark & Powell Associates, LLC

Doing business as Diabetes Resource Center Of Hopkinsville

  • Registered Dietitian
  • Hopkinsville, KY
National Provider Identifier
1700161916
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
0517 Issued in KY
Legal business name
CLARK & POWELL ASSOCIATES, LLC
Doing business as
Diabetes Resource Center Of Hopkinsville
Practice address
530 Noel Ave
Hopkinsville, KY 42240-1386
Phone
(270) 707-0060
Fax
(270) 707-0068
NPI assigned
Oct 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Mrs. Theresa Steinmeyer Clark, M.S.R.D., L.D., CDENPI 1013120948
Title
Ceo
Phone
(270) 707-0060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X 0517 KY Primary
Metabolic Nutrition Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133VN1006X 1765 KY
Diabetes Educator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WD0400X 1128308 KY

Addresses

Primary practice location

530 Noel Ave
Hopkinsville, KY 42240-1386

Mailing address

530 Noel Ave
Hopkinsville, KY 42240-1386
Phone (270) 707-0060

Other names 1

  • Diabetes Resource Center Of Hopkinsville Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1700161916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NOEL AVE",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401386",
            "telephone_number": "270-707-0060",
            "fax_number": "270-707-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NOEL AVE",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401386",
            "telephone_number": "270-707-0060",
            "fax_number": "270-707-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK & POWELL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "STEINMEYER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-707-0060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.R.D., L.D., CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "0517",
            "primary": true
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "KY",
            "license": "1765",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "KY",
            "license": "1128308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetes Resource Center Of Hopkinsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.