Nikita Anne Grove, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DN006116 Issued in PA

Practice address

23 S Market St Ste 201
Elizabethtown, PA 17022-2308

Phone

(717) 282-1864

Fax

(717) 678-6322

NPI assigned

Oct 19, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1497266282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 S MARKET ST STE 201",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222308",
            "telephone_number": "717-282-1864",
            "fax_number": "717-678-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S MARKET ST STE 201",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222308",
            "telephone_number": "717-282-1864",
            "fax_number": "717-678-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROVE",
        "first_name": "NIKITA",
        "middle_name": "ANNE",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "DN006116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Gockley, PHARMD
• Stanley M Godshall, M.D.
• Jamie E Golding, LMT
• Ty M Graden, OD
• Lindsey Taylor Gregan, PA-C
• Marie Elizabeth Grube, PTA
• Brandon William Grubic, DDS
• Yvonne Limbi Gumne
• John Victor Gustafson, DMD,MAGD,FADI
• Renee Ann Guthrie, DDS

• Registered Dietitian in Elizabethtown, PA
• Providers in Elizabethtown, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.