Donita J. Clark, R.D., L.D.
NPI 1750534202ActiveIndividual· Dietitian, Registered· Fayetteville, AR
Dietitian, Registered (R.D., L.D.) in Fayetteville, Arkansas, licensed in AR, with an NPI issued in October 2008. Medicare paid $10,197 for services to 88 patients in 2024.
Overview
| NPI | 1750534202 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | R.D., L.D. |
| Sole proprietor | No |
| NPI issued | Oct 28, 2008 |
| Last updated in NPPES | Oct 3, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 831 | AR |
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 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 88 |
|---|---|
| Services billed | 408 across 4 procedure codes |
| Paid by Medicare | $10,197 |
Other Dietitian, Registered providers in Fayetteville
- 1265372676
- 1154208270
- 1659523868
- 1992019830
- 1184877623
- 1538554027
- 1114428984
- 1073082053
- 1164959425
- 1083120323
- 1902042229
- 1902408701