Stephanie Grindeland, DTR

Primary specialty

Registered Dietetic TechnicianTaxonomy code 136A00000X

License

86116519 Issued in MN

Practice address

5354 Parkdale Dr Ste 200
Minneapolis, MN 55416-1617

Phone

(888) 364-5997

NPI assigned

Oct 26, 2020

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

Other identifiers 1

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": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1336748839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 MAPLE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551065514",
            "telephone_number": "218-760-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 PARKDALE DR STE 200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554161617",
            "telephone_number": "888-364-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINDELAND",
        "first_name": "STEPHANIE",
        "credential": "DTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "MN",
            "license": "86116519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA DEPARTMENT OF HEALTH",
            "identifier": "FM102071",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandria Grim, LPCC
• Erin Van Winkle Grimm, MD
• Joann L. Grimm, CRNA
• Wendy Kay Grimshaw
• Ali Mikole Grinde, MA, OTR/L
• Massimo Griselli, MD MS FRCS
• Jessica McNeil Leier Grittner, MS, CCC-SLP
• Grizzly Construction Co
• Meridith Grob
• Tetiana Kotsehub Groce

• Registered Dietetic Technician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Registered Dietetic Technician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.