Susan K Clark
Susan K Clark is a healthcare organization registered as Registered Dietitian in Midland, MI, holding Type 2 (organization) NPI 1679580773 since 2006. The authorized official on file is Susan Clark, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1679580773 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Susan K Clark |
| Other name | <Unavail> |
| Practice address | 310 SEMINOLE COURT, Midland, MI, 48642 |
| Phone | 9898328322 |
| Enumeration date | 2006-08-02 |
| Last updated in NPPES | 2012-09-11 |
Authorized official
| Name | Susan Clark |
|---|---|
| Title | Owner |
| Phone | 9898328322 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174N00000X | Lactation Consultant (Non-RN) | Secondary | — | — |
| 133V00000X | Registered Dietitian | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4668053 | Medicaid | MI | — |
Copy-ready billing details
Provider: Susan K Clark NPI: 1679580773 Taxonomy: 133V00000X (Registered Dietitian) Address: 310 SEMINOLE COURT, Midland, MI, 48642
Verify this record
Cross-check NPI 1679580773 against the authoritative CMS record: view Susan K Clark on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is Susan K Clark located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-09-11.