IndividualActive
Kristin Bergman, RD, CSP
NPI 1184328452 · Pediatric Nutrition Registered Dietitian · Grand Rapids, MI
Provider details
- NPI number
- 1184328452
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, CSP
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
360 Lafayette Ave Se Ste 400
Grand Rapids, MI 49503-4677
Phone: (616) 486-6870
Street-level locationGet directions
Mailing address
100 Michigan St Ne # Mc845
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2023-03-29
- Last updated
- 2025-04-02
- Certified
- 2025-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.