Active NPI
Chelsea Marie Clarke, MS, RDN
- Registered Dietitian
- Henderson, NV
National Provider Identifier
1992346555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 39476-DI-0
- Practice address
- 1887 Whitney Mesa Dr # 2426
Henderson, NV 89014-2069 - Phone
- (702) 337-2606
- NPI assigned
- Oct 4, 2019
- 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 | 39476-DI-0 | NV | Primary |
Addresses
Primary practice location
1887 Whitney Mesa Dr # 2426
Henderson, NV 89014-2069
Mailing address
1887 Whitney Mesa Dr # 2426
Henderson, NV 89014-2069
Phone (702) 337-2606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39476-DI-0 | NV | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1992346555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1887 WHITNEY MESA DR # 2426",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890142069",
"telephone_number": "702-337-2606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1887 WHITNEY MESA DR # 2426",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890142069",
"telephone_number": "702-337-2606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "CHELSEA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MS, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-04",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NV",
"license": "39476-DI-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.