Anna R Grotevant, MS, RD, LDN
Dietitian, Registered in Worcester, Massachusetts
1669893996- Practice location
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone
- 774-443-3887
- Fax
- 774-443-3913
- Last updated
- July 16, 2019
Anna R Grotevant is a Dietitian, Registered based in Worcester, MA. Anna R Grotevant practices in Worcester, MA and has the professional credentials of MS, RD, LDN. The NPI Number for Anna R Grotevant is 1669893996 and holds a License No. 3557 (MA). The current practice location address for Anna R Grotevant is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 774-443-3887 and via fax at 774-443-3913.
Provider Profile Details
- NPI Number
- 1669893996
- Provider Name
- Anna R Grotevant
- Credential
- MS, RD, LDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone Number
- 774-443-3887
- Fax Number
- 774-443-3913
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Other Names
- Anna R Polucha (Former Name)
- Provider Enumeration Date
- January 6, 2014
- Last Update Date
- July 16, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 774-443-3887
- Fax Number
- 774-443-3913
Provider Business Mailing Address Details
- Address
- 159 Coburn Ave Apt 3
Worcester, MA 01604-1112 - City
- Worcester
- State
- MA
- Zip
- 01604-1112
- Phone Number
- 508-272-3613
License Information
- License Number
- 3557
- License State
- MA
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Anna R Grotevant, MS, RD, LDN?
The NPI number of Anna R Grotevant, MS, RD, LDN is 1669893996. It was assigned on January 6, 2014 and is currently active in the NPPES registry.
What is the specialty of Anna R Grotevant, MS, RD, LDN?
Anna R Grotevant, MS, RD, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 3557.
Where does Anna R Grotevant, MS, RD, LDN practice?
The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 774-443-3887 (phone) or 774-443-3913 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669893996 directly on the NPPES registry website.