Jillian Lee Grosse, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

4286 Issued in MA

Practice address

80 Palomino Lane Nutrition in Motion, LLC
Suite 101
Bedford, NH 03110

Phone

(603) 518-5859

Fax

(603) 606-1032

NPI assigned

Jun 19, 2019

Last updated

Jun 19, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1114587300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PALOMINO LANE NUTRITION IN MOTION, LLC",
            "address_2": "SUITE 101",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-518-5859",
            "fax_number": "603-606-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PALOMINO LANE NUTRITION IN MOTION, LLC",
            "address_2": "SUITE 101",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "03110",
            "telephone_number": "603-518-5859",
            "fax_number": "603-606-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSSE",
        "first_name": "JILLIAN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "4286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea H Greenfeld, MD
• Scott D Greenwald, MD
• Amanda Grillo, APRN
• Brittany Grip
• Judy Gross, COTA
• Ashley Gualandri, DPT
• Guardian Home Care of NH, LLC (Guardian Home Care of NH)
• Gregory Edward Guillemette, LMT
• Donna Guldenstern, LCMHC, LMHC
• William Davenport Guthrie III, DDS

• Registered Dietitian in Bedford, NH
• Providers in Bedford, NH by specialty
• Registered Dietitian in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.