Individual provider Active NPI

Michelle Grohe, RD

  • Registered Dietitian
  • Virginia Beach, VA
National Provider Identifier
1083264972
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
846129
Practice address
1577 Laskin Rd Ste 105
Virginia Beach, VA 23451-6464
Phone
(757) 422-4728
NPI assigned
Sep 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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 846129 Primary

Addresses

Primary practice location

1577 Laskin Rd Ste 105
Virginia Beach, VA 23451-6464

Mailing address

1771 Greensward Quay
Virginia Beach, VA 23454-1133
Phone (253) 906-8005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210629000259 VA Practitioner - Registered Dietitian Or Nutrition Professional 4284067737 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JWF Nutrition, LLC Dietitian, Registered CurrentSince Sep 25, 2019 Accepting new patients

Locations

115 College Pl
Ste A
Norfolk, VA 23510
Phone (757) 340-3200

1577 Laskin Rd
Ste 105
Virginia Beach, VA 23451
Phone (757) 422-4728

848 First Colonial Rd
#B
Virginia Beach, VA 23451
Phone (757) 422-4725

Organizations & group practices 1

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": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1083264972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 GREENSWARD QUAY",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541133",
            "telephone_number": "253-906-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 LASKIN RD STE 105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516464",
            "telephone_number": "757-422-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROHE",
        "first_name": "MICHELLE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "846129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.