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Edith Clark, MBA, RD, CDE
NPI 1376632679 · Registered Dietitian · Phoenix, AZ
Edith Clark, MBA, RD, CDE is a Registered Dietitian provider in Phoenix, AZ (NPI 1376632679).
Provider details
- NPI number
- 1376632679
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- MBA, RD, CDE
- Sex
- Female
- Sole proprietor
- No
- License
- 390874
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
4212 N 16th St
Phoenix, AZ 85016-5319
Phone: (602) 263-1511
Fax: (602) 263-1619
Street-level locationGet directions
Mailing address
Po Box 31001-0698
Pasadena, CA 91110-0698
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2007-07-09
Frequently asked questions
- What is Edith Clark's NPI number?
- Edith Clark's National Provider Identifier (NPI) is 1376632679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edith Clark's specialty?
- Edith Clark is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Edith Clark located?
- Edith Clark's practice location on file with NPPES is 4212 N 16th St, Phoenix, AZ 85016-5319.
- What is Edith Clark's phone number?
- The practice phone number listed in the NPPES registry for Edith Clark is (602) 263-1511.
- Is Edith Clark's NPI active?
- Yes — Edith Clark's NPI (1376632679) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.