Carole Grant, RD,LD,CNSC

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

LD003592 Issued in GA

Practice address

200 West Hospital Drive
Whiteriver, AZ 85941

Phone

(928) 338-3647

NPI assigned

Oct 22, 2010

Last updated

Mar 23, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1609176882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 E CEDAR RIDGE RUN",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017308",
            "telephone_number": "928-338-3647",
            "fax_number": "928-338-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WEST HOSPITAL DRIVE",
            "city": "WHITERIVER",
            "state": "AZ",
            "postal_code": "85941",
            "telephone_number": "928-338-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "CAROLE",
        "name_prefix": "Ms.",
        "credential": "RD,LD,CNSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "GA",
            "license": "LD003592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Angela Degiglio Girard, PHARMACIST
• Katherine Susan Gissonne, RT
• Max Goder-Reiser, MD
• John Phillip Gonzales, D.D.S.
• Lois Louise Goode, MS, PT, OCS, ATC
• Amy Faith Gregg, PHARMD
• Bryan Russell Gunter Jr., PHARMD
• Anh Ha, DDS
• Randall James Haigh, PHARMD
• Marcus Caide Harding, PHARMD

• Metabolic Nutrition Registered Dietitian in Whiteriver, AZ
• Providers in Whiteriver, AZ by specialty
• Metabolic Nutrition Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.