Active NPI
Joann Gruener, MPH, RD
- Metabolic Nutrition Registered Dietitian
- Wenatchee, WA
National Provider Identifier
1316353717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Metabolic Nutrition Registered Dietitian
- License
- DI61340168
- Practice address
- 820 N Chelan Ave
Wenatchee, WA 98801-2028 - Phone
- (509) 663-8711
- NPI assigned
- Jul 7, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dietary Manager | 132700000X | 1008814 | CA | |
| Nutrition Education Nutritionist | 133NN1002X | 1008814 | CA | |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | 1008814 | CA | |
| Renal Nutrition Registered Dietitian | 133VN1005X | 1008814 | CA | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 1008814 | CA | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | DI61340168 | WA | Primary |
Addresses
Primary practice location
820 N Chelan Ave
Wenatchee, WA 98801-2028
Mailing address
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1008814 | Medicaid | CA |
Other names 1
- Joann Gruener
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0764.epichosted.com/FHIRProxy/api/FHIR/R4/ | ||
| Direct Messaging Address | jgruener84577@edirect.chehr.org |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1008814 | CA | MD | Nutrition Education Nutritionist |
| DI61340168 | WA | MD | Metabolic Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Washington Health Services Association | Current | Accepting new patients | |
| Wenatchee Valley Hospital | Current | Accepting new patients | |
| Wenatchee Valley Hospital | Current | Accepting new patients |
Locations
17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174
1201 S Miller St
Wenatchee, WA 98801
Phone (509) 662-2208
820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868
933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Wenatchee, WA
- NPI 1801937453
-
- Multi-Specialty Clinic/Center
- Wenatchee, WA
- NPI 1669719688
-
- Clinical Medical Laboratory
- Wenatchee, WA
- NPI 1689916819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1316353717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 N CHELAN AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012028",
"telephone_number": "509-663-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 N CHELAN AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012028",
"telephone_number": "509-663-8711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUENER",
"first_name": "JOANN",
"credential": "MPH, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-07",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "132700000X",
"taxonomy_group": "",
"desc": "Dietary Manager",
"state": "CA",
"license": "1008814",
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "CA",
"license": "1008814",
"primary": false
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "CA",
"license": "1008814",
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "CA",
"license": "1008814",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "CA",
"license": "1008814",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "WA",
"license": "DI61340168",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1008814",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0764.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"address_1": "820 N Chelan Ave",
"city": "Wenatchee",
"state": "WA",
"country_code": "US",
"postal_code": "988012028",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jgruener84577@edirect.chehr.org",
"affiliation": "N",
"address_1": "820 N Chelan Ave",
"city": "Wenatchee",
"state": "WA",
"country_code": "US",
"postal_code": "988012028",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JOANN",
"last_name": "GRUENER",
"credential": "MPH, RD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.