Lauren Clark, MS, RD, LD, CNSC
NPI 1053032243ActiveIndividual· Dietitian, Registered· Tyler, TX
Dietitian, Registered (MS, RD, LD, CNSC) in Tyler, Texas, licensed in TX, with an NPI issued in September 2022. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1053032243 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RD, LD, CNSC |
| Sole proprietor | No |
| NPI issued | Sep 7, 2022 |
| Last updated in NPPES | Feb 15, 2023 |
| Certified by provider | Feb 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | DT81072 | TX |
| Dietitian, Registered, Nutrition, Oncology | 133VN1301X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (TX) |
|---|
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