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NPI · 1609297431 · NPPES-sourced

Candace Clark Rd, Cd, Cde

ActiveRegistered Dietitian
NPI Number
1609297431
Type 1 · Individual
Taxonomy Code
133V00000X
Contact
(360) 414-2000
License WA · DI 60269049
Last Updated
Enumerated
Primary practice addressWA · 98632
1615 Delware StreetLongview, WA 98632
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About this NPIWhat this record shows.

NPI 1609297431 is registered to Candace Clark Rd, Cd, Cde, a Registered Dietitian practising at 1615 Delware Street in Longview, Washington. Registered Dietitian is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Candace Clark Rd, Cd, Cde has been enumerated in the National Provider Identifier (NPI) registry since 2013.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Candace Clark Rd, Cd, Cde accepts. To confirm in-network status with your specific health plan, contact Candace Clark Rd, Cd, Cde directly at (360) 414-2000.

Frequently asked

Yes. NPI 1609297431 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Registered Dietitian is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (360) 414-2000.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Candace Clark Rd, Cd, Cde is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy133V00000X
Last updated
Enumerated
StatusActive
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