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MRS. KRISTIN JAYNE BERGMAN RD, CSP
NPI 1184328452
Dietitian, Registered - Nutrition, Pediatric in Grand Rapids, MI

Active since March 29, 2023
360 LAFAYETTE AVE SE STE 400, GRAND RAPIDS, MI 49503(616) 486-6870 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Apr 2, 2025, Mar 29, 2023 (2 updates tracked since 2023).

About Mrs. Kristin Jayne Bergman Rd, Csp NPPES

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

MRS. KRISTIN JAYNE BERGMAN RD, CSP (NPI 1184328452) is an individual nutrition, pediatric provider in Grand Rapids, Michigan and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1184328452
Entity TypeIndividualFemale
Primary Taxonomy133VN1004X
Provider Legal NameMRS. KRISTIN JAYNE BERGMANCredential: RD, CSP
Location Address360 LAFAYETTE AVE SE STE 400Grand Rapids, MI 49503-4677
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 486-6870
Sole ProprietorNo
Enumeration DateMarch 29, 2023
Last NPPES UpdateApril 2, 20252 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1184328452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
360 LAFAYETTE AVE SE STE 400, Grand Rapids, MI 49503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Other Providers at the Same Location NPPES 8

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

MEGAN ELIZABETH BRATCHER PH.D
Psychologist (Clinical)
360 LAFAYETTE AVE SE STE 400
GRAND RAPIDS, MI 49503
Kent County (616) 486-6870
JESSICA ANN JONES OTR/L
Occupational Therapist
360 LAFAYETTE AVE SE STE 400
GRAND RAPIDS, MI 49503
Kent County (616) 486-6870
DR. NANCY F BANDSTRA PHD
Psychologist
360 LAFAYETTE AVE SE STE 400
GRAND RAPIDS, MI 49503
Kent County (616) 486-6870
KARIE LYNN INGERSOLL LMSW
Social Worker (Clinical)
360 LAFAYETTE AVE SE STE 400
GRAND RAPIDS, MI 49503
Kent County (616) 486-6870
MS. LATISHA LYNNE DEYOUNG NP
Nurse Practitioner (Acute Care)
360 LAFAYETTE AVE SE STE 400
GRAND RAPIDS, MI 49503
Kent County (616) 486-6870
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Pediatrics (Neurodevelopmental Disabilities)
360 LAFAYETTE AVE SE STE 400
GRAND RAPIDS, MI 49503
Kent County (616) 486-6870
BRENT TANNIN TABATA MS, RD
Dietitian, Registered
360 LAFAYETTE AVE SE STE 400
GRAND RAPIDS, MI 49503
Kent County (616) 486-6870
TIMOTHY J CONROY MD
Pediatrics
360 LAFAYETTE AVE SE STE 400
GRAND RAPIDS, MI 49503
Kent County (616) 486-6870

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristin Bergman's NPI number?

The NPI number for Kristin Bergman is 1184328452. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Kristin Bergman located?

Kristin Bergman practices at 360 Lafayette Ave SE Ste 400, Grand Rapids, MI 49503. The listed phone number is (616) 486-6870.

What is Kristin Bergman's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

What insurance does Kristin Bergman accept?

Health plans from Priority Health list Kristin Bergman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristin Bergman was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.