Organization Active NPI

Clark & Powell Associates, LLC

Doing business as Diabetes Resource Center of Hopkinsville

  • Registered Dietitian
  • Hopkinsville, KY
National Provider Identifier
1912530502
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
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
Feb 21, 2020
Organization subpart
Yes
Parent organization
CLARK & POWELL ASSOCIATES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Theresa S. Clark, MS,RD,LD,CDE,BC-ADM
Title
Ceo
Phone
(270) 707-0060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

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
Part of
Clark Powell Assoc

Locations

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1912530502",
    "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"
        },
        {
            "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": "YES",
        "parent_organization_legal_business_name": "CLARK & POWELL ASSOCIATES, LLC",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-707-0060",
        "authorized_official_credential": "MS,RD,LD,CDE,BC-ADM"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetes Resource Center of Hopkinsville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "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 29, 2020; 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.