Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Erin Anne Stark, RD

Individual provider Registered Dietitian · NPI 1609349315

Erin Anne Stark, RD is a Registered Dietitian OR Nutrition Professional in Grand Rapids, Michigan. Qualified in 2016, 10 years ago. Practices with Nottawaseppi Huron Band of the Potawatomi, an 8-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

311 State St SE
Grand Rapids, MI 49503-4312
Phone: (269) 729-5151
Fax: (833) 393-6789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86073959 (MI)
Registered Dietitian Taxonomy 133V00000X

Record details

NPI number1609349315
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedJanuary 4, 2019
Last updated in NPPESJanuary 4, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Nottawaseppi Huron Band Of The Potawatomi — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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