Jeannine Anne Groll, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

363888-4901 Issued in UT

Practice address

130 E 3Rd S
Preston, ID 83263-1530

Phone

(208) 852-2542

NPI assigned

Aug 3, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1487328480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 N BEAR RIVER BLFS",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832635184",
            "telephone_number": "208-406-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 3RD S",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832631530",
            "telephone_number": "208-852-2542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 W 1000 N",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "UT",
            "postal_code": "843212240",
            "country_code": "US",
            "telephone_number": "208-406-9586",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 N Bear River Blfs",
            "address_purpose": "LOCATION",
            "city": "Preston",
            "state": "ID",
            "postal_code": "832635184",
            "country_code": "US",
            "telephone_number": "208-406-9586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROLL",
        "first_name": "JEANNINE",
        "middle_name": "ANNE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ID",
            "license": "D-1334",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "UT",
            "license": "363888-4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franklin County Medical Center
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• Health West, Inc.
• Healthy Care Solutions
• Lance Henderson
• Aaron Henrie, RPHD

• All providers in Preston, ID
• Registered Dietitian in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.