KJ Nutrition

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

KJ NUTRITION

Practice address

14629 W Oberlin Way
Surprise, AZ 85387-6747

Phone

(719) 290-0002

NPI assigned

Feb 18, 2025

Organization subpart

No

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

Authorized official

Name

Kelli Jo Grover, MDA, RDN

Title

Owner/Dietitian

Phone

(719) 290-0002

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.

• Kelli J Grover, RDN

  • Registered Dietitian
  • Salt Lake City, UT
  • NPI 1982366035

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1043015449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14629 W OBERLIN WAY",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853876747",
            "telephone_number": "719-290-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14629 W OBERLIN WAY",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853876747",
            "telephone_number": "719-290-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJ NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "GROVER",
        "authorized_official_first_name": "KELLI JO",
        "authorized_official_title_or_position": "OWNER/DIETITIAN",
        "authorized_official_telephone_number": "719-290-0002",
        "authorized_official_credential": "MDA, RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingswood Parke Family Chiropractic Inc
• Nikki Kirby
• Daisean Jordan Kirk
• Sidney Ray Kirkeby
• Wyatt Richard Kissling, DC
• Michael Floyd Kleven, DO
• Nicole Elizabeth Klunk, CPNP
• KMS Solutions, LLC
• Tina M Knezevic, PAC
• Karli Jo Knight, COTA/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.