Kateryna Vadimovna Clark, M.S., R.D
NPI 1508149964ActiveIndividual· Dietitian, Registered· Bangor, ME
Dietitian, Registered (M.S., R.D) in Bangor, Maine, licensed in ME, with an NPI issued in September 2011.
Overview
| NPI | 1508149964 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S., R.D |
| Sole proprietor | Yes |
| NPI issued | Sep 22, 2011 |
| Last updated in NPPES | Sep 22, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | DI952 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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