Individual provider Active NPI

Loretta Grover, RD, LD, CNSC

  • Metabolic Nutrition Registered Dietitian
  • Bel Air, MD
National Provider Identifier
1255999660
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
License
D00265 Issued in MD
Practice address
1503 Hillside Dr
Bel Air, MD 21015-4722
Phone
(443) 613-4425
NPI assigned
May 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X D00265 MD Primary

Addresses

Primary practice location

1503 Hillside Dr
Bel Air, MD 21015-4722

Mailing address

1503 Hillside Dr
Bel Air, MD 21015-4722
Phone (443) 613-4425

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lgrover10@comcast.net

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

State licenses

LicenseStateTypeSpecialty
D00265MDMDMetabolic Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1255999660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 HILLSIDE DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210154722",
            "telephone_number": "443-613-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 HILLSIDE DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210154722",
            "telephone_number": "443-613-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVER",
        "first_name": "LORETTA",
        "credential": "RD, LD, CNSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "MD",
            "license": "D00265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgrover10@comcast.net",
            "affiliation": "N",
            "address_1": "1503 Hillside Dr",
            "city": "Bel Air",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210154722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.