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Crystal Park, M.S.
NPI 1669034948 · Specialist · Grand Rapids, MI
Crystal Park, M.S. is a Specialist provider in Grand Rapids, MI (NPI 1669034948).
Provider details
- NPI number
- 1669034948
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.S.
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1115 Ball Ave Ne
Grand Rapids, MI 49505-5904
Phone: (616) 456-6571
Street-level locationGet directions
Mailing address
151 S Wildwood Run Apt 16
Ludington, MI 49431-8751
Registry dates
- Enumerated
- 2019-07-08
- Last updated
- 2019-07-08
Frequently asked questions
- What is Crystal Park's NPI number?
- Crystal Park's National Provider Identifier (NPI) is 1669034948, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Crystal Park's specialty?
- Crystal Park is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Crystal Park located?
- Crystal Park's practice location on file with NPPES is 1115 Ball Ave Ne, Grand Rapids, MI 49505-5904.
- What is Crystal Park's phone number?
- The practice phone number listed in the NPPES registry for Crystal Park is (616) 456-6571.
- Is Crystal Park's NPI active?
- Yes — Crystal Park's NPI (1669034948) is active in the NPPES registry as of the last update on 2019-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.