Cherry Street Services Inc
NPI 1396165601 · Family Medicine Physician · Grand Rapids, MI
Cherry Street Services Inc is a Family Medicine Physician organization in Grand Rapids, MI (NPI 1396165601).
Provider details
- NPI number
- 1396165601
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tasha Blackmon, Ceo(616) 776-2128
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Dentist122300000X
Dental Providers
- Optometrist152W00000X
Eye and Vision Services Providers
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2014-04-25
- Last updated
- 2023-10-10
- Certified
- 2023-10-10
Frequently asked questions
- What is Cherry Street Services Inc's NPI number?
- Cherry Street Services Inc's National Provider Identifier (NPI) is 1396165601, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cherry Street Services Inc?
- Cherry Street Services Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Cherry Street Services Inc located?
- Cherry Street Services Inc's practice location on file with NPPES is 100 Cherry Street, Grand Rapids, MI 49503.
- What is Cherry Street Services Inc's phone number?
- The practice phone number listed in the NPPES registry for Cherry Street Services Inc is (616) 965-8200.
- Who is the authorized official for Cherry Street Services Inc?
- The authorized official listed on Cherry Street Services Inc's NPPES record is Tasha Blackmon, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cherry Street Services Inc's NPI active?
- Yes — Cherry Street Services Inc's NPI (1396165601) is active in the NPPES registry as of the last update on 2023-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.