Marybeth Clark, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

923323 Issued in NV

Practice address

2121 E Flamingo Rd
Suite 114
Las Vegas, NV 89119-5122

Phone

(702) 382-8841

Fax

(702) 369-2370

NPI assigned

Jun 30, 2006

Last updated

Jan 11, 2008By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Anders and Dunaway Nutrition Consultants, Inc.

  • Registered Dietitian
  • Las Vegas, NV
  • NPI 1962445619

  Dietitian, Registered

  NPD (past)
• HCLV, LLC

  dba Hearing Centers of Las Vegas

  • Specialist
  • Las Vegas, NV
  • NPI 1518092816
  NPD (past)
• Las Vegas Hearing Center, LLC

  dba Valley Hearing Center

  • Hearing Aid Equipment
  • Henderson, NV
  • NPI 1619172129
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1780613141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6273 DEAN MARTIN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183833",
            "telephone_number": "702-616-1605",
            "fax_number": "702-616-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E FLAMINGO RD",
            "address_2": "SUITE 114",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195122",
            "telephone_number": "702-382-8841",
            "fax_number": "702-369-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "MARYBETH",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NV",
            "license": "923323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luralee Lander Clark, CCC-SLP
• Majid J Clark
• Maria Liezel Y Clark, PT
• Markell Clark
• Marquajah Shaprice Clark
• Melissa Clark
• Michael Clark
• Michelle Clark, M.S., CF-SLP
• Mikaela Kurin Clark, PSY
• Monika Katarzyna Clark, MA, MS, BCBA, LBA

• Registered Dietitian in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Registered Dietitian in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.