Active NPI
Genevieve Clarke, RDN, LDN, CDCES
- Registered Dietitian
- Frederick, MD
National Provider Identifier
1720329543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 7202 Rainbow LN
Frederick, MD 21702-2979 - Phone
- (781) 223-0746
- NPI assigned
- Mar 4, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
7202 Rainbow LN
Frederick, MD 21702-2979
Mailing address
7202 Rainbow LN
Frederick, MD 21702-2979
Phone (781) 223-0746
Other practice location 1
1430 K St NW
Washington, DC 20005-2504
Phone (703) 552-2722
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1044258 | Other | COMMISSION ON DIETETIC REGISTRATION | |
| DI100000694 | Other | DC | DISTRICT OF COLUMBIA BOARD OF DIETETICS AND NUTRITION |
| DX3311 | Other | MARYLAND STATE BOARD OF DIETETIC PRACTICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellbetter Nutrition | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1720329543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7202 RAINBOW LN",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217022979",
"telephone_number": "781-223-0746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7202 RAINBOW LN",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217022979",
"telephone_number": "781-223-0746"
}
],
"practiceLocations": [
{
"address_1": "1430 K St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200052504",
"country_code": "US",
"telephone_number": "703-552-2722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLARKE",
"first_name": "GENEVIEVE",
"credential": "RDN, LDN, CDCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-04",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION",
"identifier": "1044258",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DISTRICT OF COLUMBIA BOARD OF DIETETICS AND NUTRITION",
"identifier": "DI100000694",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND STATE BOARD OF DIETETIC PRACTICE",
"identifier": "DX3311",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.