IndividualActive
Krystle Clark, RD
NPI 1699449694 · Registered Dietitian · Portage, MI
Krystle Clark, RD is a Registered Dietitian provider in Portage, MI (NPI 1699449694).
Provider details
- NPI number
- 1699449694
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- 1012724 (MI)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
800 E Milham Ave
Portage, MI 49002-1490
Phone: (269) 888-6813
Street-level locationGet directions
Mailing address
1404 Cambridge Dr
Kalamazoo, MI 49001-4406
Registry dates
- Enumerated
- 2021-08-03
- Last updated
- 2021-08-03
- Certified
- 2021-08-03
Frequently asked questions
- What is Krystle Clark's NPI number?
- Krystle Clark's National Provider Identifier (NPI) is 1699449694, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Krystle Clark's specialty?
- Krystle Clark is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Krystle Clark located?
- Krystle Clark's practice location on file with NPPES is 800 E Milham Ave, Portage, MI 49002-1490.
- What is Krystle Clark's phone number?
- The practice phone number listed in the NPPES registry for Krystle Clark is (269) 888-6813.
- Is Krystle Clark's NPI active?
- Yes — Krystle Clark's NPI (1699449694) is active in the NPPES registry as of the last update on 2021-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.