Tracey A. Grant, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1050263 Issued in AZ

Practice address

1046 E Wesleyan Dr
Tempe, AZ 85282-3819

Phone

(817) 905-6467

NPI assigned

Nov 21, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1033486972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 E WESLEYAN DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823819",
            "telephone_number": "817-905-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 E WESLEYAN DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823819",
            "telephone_number": "817-905-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "TRACEY",
        "middle_name": "A.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-21",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "1050263",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60260239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grandview DME LLC
• Rachel Granner
• Carrie Grant
• Joseph Bruce Grant, M.C., L.P.C.
• Laura Grant, MD
• Virginia Sue Grant, LCSW
• Emily Graves, NP
• Anika Elise Gray
• Jerry Wayne Gray, RDH
• Greater Phoenix Psychiatric Associate PLLC

• Registered Dietitian in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.