Nutritionist

SUSAN B CLARK MS, RD, LD, CDE

Public NPPES listing with taxonomy: Dietitian, Registered.

Resource details

Medicare status: Confirm directly

Unknown from NPPES

Source: NPPES NPI Registry

NPI: 1124676663

Taxonomy: Dietitian, Registered (133V00000X)

Source confidence: 68%

Medicare assignment: Unknown from NPPES

Address: 450 E MAIN ST, REXBURG, ID, 834402048

Phone: 208-359-6522

Last verified: May 15, 2026