William Andrew Clark, PHD, RD - Dietitian in Johnson City, TN

William Andrew Clark, PHD, RD is a Dietitian, Registered based in Johnson City, Tennessee. William Andrew Clark is licensed to practice in Tennessee (license number LDN2487) and his current practice location is 807 University Pkwy, Box 70403, Johnson City, Tennessee. He can be reached at his office (for appointments etc.) via phone at (423) 439-4071.

NPI number for William Andrew Clark is 1356694301 and his current mailing address is 807 University Pkwy, Box 70403, Johnson City, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356694301.

Contact Information

William Andrew Clark, PHD, RD
807 University Pkwy, Box 70403,
Johnson City, TN 37614-6500
(423) 439-4071
(423) 439-4060

Map and Direction




Healthcare Provider's Profile

Full NameWilliam Andrew Clark
GenderMale
SpecialityDietitian, Registered
Location807 University Pkwy, Johnson City, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356694301
  • Provider Enumeration Date: 10/16/2012
  • Last Update Date: 10/16/2012

Medical Identifiers

Medical identifiers for William Andrew Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356694301NPI-NPPES
LDN0000002487OtherTNST LIC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered LDN2487 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. William Andrew Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
William Andrew Clark, PHD, RD
807 University Pkwy, Box 70403,
Johnson City, TN 37614-6500

Ph: (423) 439-4071
William Andrew Clark, PHD, RD
807 University Pkwy, Box 70403,
Johnson City, TN 37614-6500

Ph: (423) 439-4071

Reviews and Comments


Dietitian, Registered in Johnson City, TN

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Meredith Pellegrini, RD
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Miss Felicia Christian,
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Amy Elizabeth Waters, MS, RD, IBCLC
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Phone: 423-979-3200    Fax: 423-688-3261

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.