Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Susan B Clark, MS, RD, LD, CDE

Individual provider Registered Dietitian · NPI 1124676663

Susan B Clark, MS, RD, LD, CDE is a Registered Dietitian in Rexburg, Idaho. Works from 2 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.
CDE — Certified Diabetes Educator
Teaches people to manage diabetes day to day.

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Practice location Address checks out

393 E 2nd N
Rexburg, ID 83440-1605
Phone: (208) 356-5401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 450 E Main St, Rexburg, ID 83440-2048 — (208) 359-6522

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence D-393 (ID)

Record details

NPI number1124676663
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , LD , CDE
Sole proprietorNo
NPI enumeratedAugust 28, 2019
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

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