Emily Faith Clark, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

111050 Mount Belvedere Blvd
Fort Drum, NY 13602

Phone

(254) 537-3292

NPI assigned

Nov 15, 2021

Last updated

Jan 26, 2026By 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

Other names 1

• Emily Faith Boone Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1770249658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111050 MOUNT BELVEDERE BLVD",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "13603",
            "telephone_number": "254-537-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111050 MOUNT BELVEDERE BLVD",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "13602",
            "telephone_number": "254-537-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "EMILY",
        "middle_name": "FAITH",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "FORSCOM",
            "affiliation": "N",
            "endpointDescription": "military installation",
            "address_1": "111050 Mount Belvedere Blvd",
            "city": "Fort Drum",
            "state": "NY",
            "country_code": "US",
            "postal_code": "13602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "BOONE",
            "middle_name": "FAITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Oscar Christian, PHYSICIAN ASSISTANT
• Steve Chun, M.D.
• Andrew James Cianciolo
• Andrea Paola Ciuro Sone, DMD
• Patrick Allen Clapp, PA-C
• Gary Wayne Clarkson Jr., PA - C
• Jeremiah C Clester, PA-C
• Zachary Rosello Collins, PH.D.
• Yolanda Kaye Colon, PA
• James Maxwell Contessa, OTR/L

• Registered Dietitian in Fort Drum, NY
• Providers in Fort Drum, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.