Active NPI
Green Bean Grove LLC
- Registered Dietitian
- Huntsville, AL
National Provider Identifier
1114884673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- GREEN BEAN GROVE LLC
- Practice address
- 1108 Oshaughnessy Ave NE
Huntsville, AL 35801-6261 - Phone
- (256) 213-1702
- NPI assigned
- Jan 7, 2026
- Last updated
- Jan 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie Johnson, RD
- Title
- Registered Dietitian
- Phone
- (256) 679-4764
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1108 Oshaughnessy Ave NE
Huntsville, AL 35801-6261
Mailing address
1108 Oshaughnessy Ave NE
Huntsville, AL 35801-6261
Phone (256) 213-1702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767744000000",
"number": "1114884673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 OSHAUGHNESSY AVE NE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358016261",
"telephone_number": "256-213-1702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 OSHAUGHNESSY AVE NE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358016261",
"telephone_number": "256-213-1702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN BEAN GROVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-07",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "LESLIE",
"authorized_official_title_or_position": "REGISTERED DIETITIAN",
"authorized_official_telephone_number": "256-679-4764",
"authorized_official_credential": "RD"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.