What is Chanel Clark's NPI number?

Chanel Clark's National Provider Identifier (NPI) is 1609424183, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Chanel Clark's specialty?

Chanel Clark is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).

Where is Chanel Clark located?

Chanel Clark's practice location on file with NPPES is 2278 Moritz Ln, Indian Valley, ID 83632-5019.

What is Chanel Clark's phone number?

The practice phone number listed in the NPPES registry for Chanel Clark is (208) 816-8365.

Is Chanel Clark's NPI active?

Yes — Chanel Clark's NPI (1609424183) is active in the NPPES registry as of the last update on 2019-08-28.

IndividualActive

Chanel Clark, RDN, LD

NPI 1609424183 · Registered Dietitian · Indian Valley, ID

Chanel Clark, RDN, LD is a Registered Dietitian provider in Indian Valley, ID (NPI 1609424183).

Provider details

NPI number: 1609424183
Entity type: Individual
Primary specialty: Registered DietitianDietary & Nutritional Service Providers
Credential: RDN, LD
Sex: Female
Sole proprietor: Yes
License: D-859 (ID)

Specialties & taxonomies

Registered DietitianPrimary133V00000XLicense D-859 (ID)
Dietary & Nutritional Service Providers

Profile Score

Established profile(66/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 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

2278 Moritz Ln

Indian Valley, ID 83632-5019

Phone: (208) 816-8365

Street-level locationGet directions

More ID providers

Mailing address