IndividualActive
Crystal Shores, RD, LD
NPI 1629348727 · Registered Dietitian · Marietta, GA
Crystal Shores, RD, LD is a Registered Dietitian provider in Marietta, GA (NPI 1629348727).
Provider details
- NPI number
- 1629348727
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LD
- Sex
- Female
- Sole proprietor
- Yes
- License
- LD003806 (GA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
5150 Davidson Road
Marietta, GA 30068
Phone: (678) 209-8976
Street-level locationGet directions
Mailing address
4880 Lower Roswell Rd
Marietta, GA 30068-4375
Registry dates
- Enumerated
- 2012-01-05
- Last updated
- 2012-01-05
Frequently asked questions
- What is Crystal Shores's NPI number?
- Crystal Shores's National Provider Identifier (NPI) is 1629348727, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Crystal Shores's specialty?
- Crystal Shores is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Crystal Shores located?
- Crystal Shores's practice location on file with NPPES is 5150 Davidson Road, Marietta, GA 30068.
- What is Crystal Shores's phone number?
- The practice phone number listed in the NPPES registry for Crystal Shores is (678) 209-8976.
- Is Crystal Shores's NPI active?
- Yes — Crystal Shores's NPI (1629348727) is active in the NPPES registry as of the last update on 2012-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.