Individual provider Active NPI

Lauren Groover, RDN LD

  • Registered Dietitian
  • Mobile, AL
National Provider Identifier
1023856275
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
5628 Issued in AL
Practice address
55 Midtown Park E
Mobile, AL 36606-4141
Phone
(251) 478-2233
Fax
(877) 816-0592
NPI assigned
Jul 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 5628 AL Primary

Addresses

Primary practice location

55 Midtown Park E
Mobile, AL 36606-4141

Mailing address

55 Midtown Park E
Mobile, AL 36606-4141
Phone (251) 478-2233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250512002458 AL Practitioner - Registered Dietitian Or Nutrition Professional 1759808801 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Therapy, LLC Current Accepting new patients
4TDD.Com, Inc. Dietitian, Registered CurrentSince Feb 27, 2025 Accepting new patients
4TDD.Com, Inc PastSince Jul 21, 2024 Accepting new patients

Locations

55 Midtown Park E
Mobile, AL 36606
Phone (251) 450-1010

1700 Spring Hill Ave
Fl 3
Mobile, AL 36604

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1023856275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MIDTOWN PARK E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064141",
            "telephone_number": "251-478-2233",
            "fax_number": "877-816-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MIDTOWN PARK E",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064141",
            "telephone_number": "251-478-2233",
            "fax_number": "877-816-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROOVER",
        "first_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "RDN LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "5628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.