Active NPI
Kroger Co
- Registered Dietitian
- Brighton, MI
National Provider Identifier
1487485959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- KROGER CO
- Practice address
- 9968 E Grand River Ave
Brighton, MI 48116-1924 - Phone
- (999) 999-9999
- NPI assigned
- Aug 8, 2024
- Last updated
- Aug 13, 2024
- 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
- Lesa Waller
- Title
- Enrollment Manager
- Phone
- (513) 387-8602
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
9968 E Grand River Ave
Brighton, MI 48116-1924
Mailing address
PO Box 932958
Cleveland, OH 44193-0028
Other practice location 1
2641 Plymouth Rd
Ann Arbor, MI 48105-2469
Phone (999) 999-9999
Other practice location 2
670 Highland Ave
Milford, MI 48381-1518
Phone (999) 999-9999
National Provider Directory
National Provider Directory- Tax ID family
- Kroger Pharmacy 253
Organizations with this tax ID in the same state 1
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
Locations
2641 Plymouth Rd
Ann Arbor, MI 48105
Phone (734) 994-0180
670 Highland Ave
Milford, MI 48381
Phone (248) 505-9145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723507200000",
"number": "1487485959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932958",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9968 E GRAND RIVER AVE",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481161924",
"telephone_number": "999-999-9999"
}
],
"practiceLocations": [
{
"address_1": "2641 Plymouth Rd",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481052469",
"country_code": "US",
"telephone_number": "999-999-9999",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "670 Highland Ave",
"address_purpose": "LOCATION",
"city": "Milford",
"state": "MI",
"postal_code": "483811518",
"country_code": "US",
"telephone_number": "999-999-9999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KROGER CO",
"organizational_subpart": "NO",
"enumeration_date": "2024-08-08",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A",
"authorized_official_last_name": "WALLER",
"authorized_official_first_name": "LESA",
"authorized_official_title_or_position": "ENROLLMENT MANAGER",
"authorized_official_telephone_number": "513-387-8602"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.