KRYSTLE CLARK RD
NPI 1699449694
Dietitian, Registered in Portage, MI

Active since August 03, 2021
800 E MILHAM AVE, PORTAGE, MI 49002(269) 888-6813 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Krystle Clark Rd NPPES

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

KRYSTLE CLARK RD (NPI 1699449694) is an individual dietitian, registered in Portage, Michigan, licensed in Michigan (1012724) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1699449694
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKRYSTLE CLARKCredential: RD
Location Address800 E MILHAM AVEPortage, MI 49002-1490
Mailing Address1404 Cambridge DrKalamazoo, MI 49001-4406
Sole ProprietorNo
Enumeration DateAugust 3, 2021
NPPES CertifiedAugust 3, 2021
NPI 1699449694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in MI · 1012724
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.
800 E MILHAM AVE, Portage, MI 49002

Other Providers at the Same Location NPPES 11

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

Social Worker
800 E MILHAM AVE
PORTAGE, MI 49002
Social Worker (Clinical)
800 E MILHAM AVE
PORTAGE, MI 49002
Counselor (Professional)
800 E MILHAM AVE
PORTAGE, MI 49002
Internal Medicine
800 E MILHAM AVE
PORTAGE, MI 49002
Physical Therapy Assistant
800 E MILHAM AVE
PORTAGE, MI 49002
Social Worker (Clinical)
800 E MILHAM AVE
PORTAGE, MI 49002
Registered Nurse
800 E MILHAM AVE
PORTAGE, MI 49002
Dietitian, Registered
800 E MILHAM AVE
PORTAGE, MI 49002

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 Krystle Clark's NPI number?

The NPI number for Krystle Clark is 1699449694. It was assigned to this individual provider in the NPPES registry on August 3, 2021.

Where is Krystle Clark located?

Krystle Clark practices at 800 E Milham Ave, Portage, MI 49002. The listed phone number is (269) 888-6813.

What is Krystle Clark's specialty?

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

When was this NPI record last updated?

The NPPES record for Krystle Clark was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.