IndividualActive
Abby Black, RD, CDE
NPI 1750631511 · Registered Dietitian · Saint Joseph, MI
Provider details
- NPI number
- 1750631511
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, CDE
- Sex
- Female
- Sole proprietor
- No
- License
- 875262
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(79/100 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
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
511 Renaissance Dr
Suite 130
Saint Joseph, MI 49085-2180
Phone: (269) 350-9789
Street-level locationGet directions
Mailing address
717 Saint Joseph Dr
Saint Joseph, MI 49085-2428
Registry dates
- Enumerated
- 2012-09-19
- Last updated
- 2016-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.