Susan B. Clark, CDE, LD, MS, RD

  • Rexburg, ID
  • Registered dietitian
NPI1124676663
Affiliated sites
1
Medical group
1
State license
1
Year NPI issued
2019
Practice address
393 E 2nd N, Rexburg, ID 83440
Practice phone
Call (208) 356-5401
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Madison Memorial Rexburg Medical Clinic

Primary care practice · Rexburg, Idaho

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Susan B. Clark is a registered dietitian in Rexburg, Idaho

Susan Clark practices at Madison Memorial Rexburg Medical Clinic in Rexburg, Idaho.

Susan Clark's NPI, 1124676663, was assigned on August 28, 2019. Susan Clark holds Idaho license D-393.

NPI and contact details
NPI enumeration date
August 28, 2019
NPI status
Active
Practice phone
(208) 356-5401
Professional email
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Personal email
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Mobile number
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Sex
Female
Estimated age
35
Medical school graduation
2017

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data

Susan B. Clark practices at Madison Memorial Rexburg Medical Clinic in Rexburg, Idaho

Susan Clark's primary practice is Madison Memorial Rexburg Medical Clinic, at 393 E 2nd N, Rexburg, ID 83440. The practice phone is (208) 356-5401.

  • Madison Memorial Rexburg Medical Clinic
    393 E 2nd N, Rexburg, ID 83440Phone(208) 356-5401

Source: Dmand AI Affiliation Data

Susan B. Clark is affiliated with 1 site of care and 1 medical group

Susan Clark's primary practice is Madison Memorial Rexburg Medical Clinic in Rexburg, Idaho. The medical group on file is Rexburg Medical.

Madison Memorial Rexburg Medical ClinicPrimary care practice · Rexburg, IdahoPrimary
Rexburg MedicalPrimary care group, Rexburg, ID

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Susan B. Clark's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Susan Clark practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Madison Memorial Rexburg Medical ClinicAvailable with a free account

Source: Dmand AI Technology Install Data

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Susan B. Clark is one of 136 registered dietitians in Idaho

Dietitian, registered is Susan Clark's primary specialty in the NPI Registry, under taxonomy code 133V00000X. Susan Clark is licensed in Idaho.

Specialties and state licenses

  • Registered dietitian, IdahoPrimaryLicense D-393 · taxonomy 133V00000X

Registered dietitians near Susan Clark

Counts of registered dietitians with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Susan B. Clark's patients have a median age of 68

Across all payers, Dmand AI patient panel data puts Susan Clark's median patient age at 68, with 69% women.

Susan Clark's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 68

Patient panel by sex, all payers

  • Women69%
  • Men31%

Source: Dmand AI Patient Panel Data

Sources for Susan B. Clark's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Susan B. Clark

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What is Susan B. Clark's NPI number?

Susan B. Clark's NPI number is 1124676663. It was assigned on August 28, 2019, and it is active in the NPI Registry.

What does Susan B. Clark specialize in?

Susan B. Clark is a registered dietitian in Rexburg, Idaho. The primary specialty in the NPI Registry is Registered Dietitian (taxonomy code 133V00000X).

Where does Susan B. Clark practice?

Susan Clark practices at 393 E 2nd N, Rexburg, ID 83440. Susan Clark's primary practice is Madison Memorial Rexburg Medical Clinic in Rexburg, Idaho.

What is Susan B. Clark's office phone number?

The practice phone on file for Susan Clark is (208) 356-5401.

What is Susan B. Clark's medical license number?

Susan Clark holds Idaho license D-393.

What medical group is Susan B. Clark part of?

Susan Clark is linked to Rexburg Medical.

How long has Susan B. Clark been practicing?

Susan Clark graduated from medical school in 2017, 9 years ago.

Selling to dietitian, registered practices?

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