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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mrs. Theresa S. Clark, MSRD,C.D.E., L.D.

Registered Dietitian in Hopkinsville, KY · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013120948

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Registry record

Entity type Individual (Type 1)
Name Mrs. Theresa S. Clark
Credential MSRD,C.D.E., L.D.
Sex Female
Practice address Hopkinsville, KY, 42240
Fax (270) 707-0068
Enumeration date May 7, 2007
Last updated in NPPES Aug 5, 2016

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

133V00000X Registered Dietitian Dietary & Nutritional Service Providers · License KY-0517 (KY) Primary

Other identifiers

Identifier Type State Issuer
38364492 Other KY TAX ID NO.
KY-0517 Other KY LICENSE DIETITIAN
9000505900 Medicaid KY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Theresa Clark?
The National Provider Identifier (NPI) for Theresa Clark is 1013120948, a Type 1 (individual) record in the CMS NPPES registry.
Where does Theresa Clark practice?
The practice location on file with NPPES is in Hopkinsville, KY. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-08-05.