Candace Clark, RD, CD, CDE
NPI 1609297431 · Registered Dietitian · Longview, WA
Enrolled with Medicare as Practitioner - Registered Dietitian Or Nutrition Professional · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Candace Clark, RD, CD, CDE is a Registered Dietitian provider in Longview, WA (NPI 1609297431).
Provider details
- NPI number
- 1609297431
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, CD, CDE
- Sex
- Female
- Sole proprietor
- No
- License
- DI 60269049 (WA)
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
12 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
- 2013-12-20
- Last updated
- 2013-12-20
Frequently asked questions
- What is Candace Clark's NPI number?
- Candace Clark's National Provider Identifier (NPI) is 1609297431, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Candace Clark's specialty?
- Candace Clark is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Candace Clark located?
- Candace Clark's practice location on file with NPPES is 1615 Delware Street, Longview, WA 98632.
- What is Candace Clark's phone number?
- The practice phone number listed in the NPPES registry for Candace Clark is (360) 414-2000.
- Does Candace Clark accept Medicare?
- Candace Clark is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Candace Clark's NPI active?
- Yes — Candace Clark's NPI (1609297431) is active in the NPPES registry as of the last update on 2013-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.