NPI age
12 years
Enumerated 2013-08-15
● Active Type 2 · Organization
Clack Nutrition
Clack Nutrition is 1 of 5402 dietitian, registered organizations in Texas.
Primary specialty
Dietitian, Registered
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clack
Owner
Last NPPES update
2013-09-26
Source: monthly bulk 2026-05
How this organization compares
Across 5402 active dietitian, registered providers in Texas.
NPI age
12 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-08Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
1011 N Main St
Weatherford, TX 760862029
Mailing address
805 Terry Trl
Weatherford, TX 760864601
Authorized official
Jonathan Shane Clack, MS, RD, LD
Owner
📞 8176290420
Specialties
-
Dietitian, Registered PrimaryA Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.