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NPI Profile for MISTY M CLACKUM in GAINESVILLE, GA.
A 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 applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Dietitian, Registered |
133V00000X | 71 | Registered Dietitian or Nutrition Professional | |
Nutrition, Pediatric |
133VN1004X | 71 | Registered Dietitian or Nutrition Professional | |
Nutrition, Pediatric Critical Care |
133VN1401X | 71 | Registered Dietitian or Nutrition Professional |
| NPI # | 1073944492 |
|
| Status | Active | |
| Credentials | RD, CSP, LDN | |
| Entity | Individual | |
| Enumeration date | 12/11/2013 | |
| Last updated | 07/26/2025 - About 10 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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MISTY M CLACKUM
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MISTY M CLACKUM, RD, CSP, LDN