Kristin Black, RD
Dietitian, Registered in Troy, MI. Individual provider (NPI-1).
NPI number1407530173
StatusActive
Last updated in NPPESJun 13, 2023
Details
- NPI
- 1407530173
- Entity type
- Individual (NPI-1)
- Name
- Kristin Black
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2023
- Certification date
- Jun 13, 2023
- Last updated
- Jun 13, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
1934 Livernois RdTroy, MI 48083-1732
Phone 248-686-0340
Mailing address
700 Ann St Apt 3Birmingham, MI 48009-3686
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 25 Registered Dietitian providers in Troy · All 5,227 providers in Troy
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