Individual provider Active NPI

Rebecca Marie Grow, RD

  • Registered Dietitian
  • Raleigh, NC
National Provider Identifier
1083386445
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L006376 Issued in NC
Practice address
123 Sunnybrook Rd Ste 130
Raleigh, NC 27610-2784
Phone
(919) 916-5300
NPI assigned
Oct 4, 2021
Last updated
Oct 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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 L006376 NC Primary

Addresses

Primary practice location

123 Sunnybrook Rd Ste 130
Raleigh, NC 27610-2784

Mailing address

123 Sunnybrook Rd Ste 130
Raleigh, NC 27610-2784
Phone (919) 916-5300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220201001675 NC Practitioner - Registered Dietitian Or Nutrition Professional 3274926977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

6905 Knightdale Blvd
Suite 106
Knightdale, NC 27545-6506
Phone (919) 261-8760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L006376NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC CurrentSince Jan 6, 2022 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Unc Physicians Network, LLC CurrentSince Jan 6, 2022 Accepting new patients
Gibbons Family Medicine Past Accepting new patients

Locations

1525 Apex Peakway
Ste 200
Apex, NC 27502
Phone (919) 363-9363

118 Knox Way
Chapel Hill, NC 27516
Phone (984) 205-4603

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

6602 Knightdale Blvd
Ste 202
Knightdale, NC 27545
Phone (919) 747-5270

6905 Knightdale Blvd
Ste 106
Knightdale, NC 27545
Phone (919) 261-8760

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1083386445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SUNNYBROOK RD STE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102784",
            "telephone_number": "919-916-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SUNNYBROOK RD STE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102784",
            "telephone_number": "919-916-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROW",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L006376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.