LACEY CRUMBACK RD
NPI 1144783457
Dietitian, Registered in Grand Rapids, MI

Q: What is Lacey Crumback's NPI number?

The NPI number for Lacey Crumback is 1144783457. It was assigned to this individual provider in the NPPES registry on April 12, 2019. The provider is also known as Lacey Aldrige Rd.

Q: What is Lacey Crumback's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Lacey Crumback was last updated on April 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 12, 2019

100/100

CMS Quality Rating

221 MICHIGAN ST NE STE 200, GRAND RAPIDS, MI 49503(616) 267-8950 Get Directions Write a Review

NPPES record last updated: April 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lacey Crumback Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACEY CRUMBACK RD (NPI 1144783457) is an individual dietitian, registered in Grand Rapids, Michigan and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1144783457

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameLACEY CRUMBACKCredential: RD

Location Address221 MICHIGAN ST NE STE 200Grand Rapids, MI 49503-2533

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560

Phone(616) 267-8950

Sole ProprietorNo

Enumeration DateApril 12, 2019

✔ NPI 1144783457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

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.

221 MICHIGAN ST NE STE 200, Grand Rapids, MI 49503

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Other Names 1

Former Name (1)Lacey Aldrige Rd

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.54

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE DENICE BRODERSON MS, RD

Dietitian, Registered