IndividualActive
Corey Shack, R.D.
NPI 1588904254 · Registered Dietitian · Kalamazoo, MI
Corey Shack, R.D. is a Registered Dietitian provider in Kalamazoo, MI (NPI 1588904254).
Provider details
- NPI number
- 1588904254
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- R.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 1061420 (MI)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1717 Shaffer St Ste 124
Kalamazoo, MI 49048-1629
Phone: (269) 226-4909
Street-level locationGet directions
Mailing address
1521 Gull Rd
Kalamazoo, MI 49048-1640
Additional practice locations (1)
- 1521 Gull RdBorgess Medical CenterKalamazoo, MI 49048-1640Phone: (269) 226-4909
Registry dates
- Enumerated
- 2013-02-18
- Last updated
- 2019-01-28
Frequently asked questions
- What is Corey Shack's NPI number?
- Corey Shack's National Provider Identifier (NPI) is 1588904254, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Corey Shack's specialty?
- Corey Shack is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Corey Shack located?
- Corey Shack's practice location on file with NPPES is 1717 Shaffer St Ste 124, Kalamazoo, MI 49048-1629.
- What is Corey Shack's phone number?
- The practice phone number listed in the NPPES registry for Corey Shack is (269) 226-4909.
- Is Corey Shack's NPI active?
- Yes — Corey Shack's NPI (1588904254) is active in the NPPES registry as of the last update on 2019-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.