Active NPI
Colleen Grossner, M.S., R.D., L.D
- Registered Dietitian
- Highland Heights, OH
National Provider Identifier
1114358751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 6179
- Practice address
- 589 Rutland Dr
Highland Heights, OH 44143-2042 - Phone
- (440) 655-1433
- NPI assigned
- Dec 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 6179 | OH | Primary |
Addresses
Primary practice location
589 Rutland Dr
Highland Heights, OH 44143-2042
Mailing address
589 Rutlanddrive
Highland Heights, OH 44143-2042
Phone (440) 655-1433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6179 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386547200000",
"number": "1114358751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "589 RUTLANDDRIVE",
"city": "HIGHLAND HEIGHTS",
"state": "OH",
"postal_code": "441432042",
"telephone_number": "440-655-1433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "589 RUTLAND DR",
"city": "HIGHLAND HEIGHTS",
"state": "OH",
"postal_code": "441432042",
"telephone_number": "440-655-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSNER",
"first_name": "COLLEEN",
"credential": "M.S., R.D., L.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-09",
"last_updated": "2013-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "6179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.