Andrea Clark, RD, LD
NPI 1063863959 · Pediatric Nutrition Registered Dietitian · Saint Louis, MO
Andrea Clark, RD, LD is a Pediatric Nutrition Registered Dietitian provider in Saint Louis, MO (NPI 1063863959).
Provider details
- NPI number
- 1063863959
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LD
- Sex
- Female
- Sole proprietor
- No
- License
- 133VN1004X (MO)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-06-22
- Last updated
- 2016-06-22
Frequently asked questions
- What is Andrea Clark's NPI number?
- Andrea Clark's National Provider Identifier (NPI) is 1063863959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrea Clark's specialty?
- Andrea Clark is listed in the NPPES registry with a primary specialty of Pediatric Nutrition Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Andrea Clark located?
- Andrea Clark's practice location on file with NPPES is 1 Childrens Pl, Saint Louis, MO 63110-1002.
- What is Andrea Clark's phone number?
- The practice phone number listed in the NPPES registry for Andrea Clark is (314) 454-2648.
- Is Andrea Clark's NPI active?
- Yes — Andrea Clark's NPI (1063863959) is active in the NPPES registry as of the last update on 2016-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.