Kandis Grose Ms Rd LN LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

KANDIS GROSE MS RD LN LLC

Practice address

649 Middle Burnt Fork Rd
Stevensville, MT 59870

Phone

(406) 839-3851

NPI assigned

May 11, 2022

Last updated

May 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kandis Grose, MS, RD, LNNPI 1205905221

Title

Owner

Phone

(406) 839-3851

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kandis L. Grose, MS, RD, LN

  • Registered Dietitian
  • Billings, MT
  • NPI 1205905221

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1033855028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "598700044",
            "telephone_number": "406-839-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 MIDDLE BURNT FORK RD",
            "city": "STEVENSVILLE",
            "state": "MT",
            "postal_code": "59870",
            "telephone_number": "406-839-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANDIS GROSE MS RD LN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "GROSE",
        "authorized_official_first_name": "KANDIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-839-3851",
        "authorized_official_credential": "MS, RD, LN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonia J Janzen, LAC
• Alexandria Ladaun Jessop, MASSAGE THERAPIST
• Brittney Megan Jessop, LMT, BCTMB
• Anders Christen Johnson
• Janel Jones, FNP-BC
• Denel Kristen Keeling, N.D.
• Sari Rey Kerslake, FNP
• Raenna Kraft, LMP
• Lavana Connection LLC
• Amber Lavin, DNP, CNM, WHNP

• Registered Dietitian in Stevensville, MT
• Providers in Stevensville, MT by specialty
• Registered Dietitian in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.