Individual provider Active NPI

Hanna Elisabet Grinaker, MS, RD

  • Registered Dietitian
  • Saint Paul, MN
National Provider Identifier
1689143307
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86032193 Issued in MN
Practice address
2565 Franklin Ave Apt 405
Saint Paul, MN 55114-3004
Phone
(218) 841-1368
NPI assigned
Nov 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86032193 MN Primary

Addresses

Primary practice location

2565 Franklin Ave Apt 405
Saint Paul, MN 55114-3004

Mailing address

2565 Franklin Ave Apt 405
Saint Paul, MN 55114-3004
Phone (218) 841-1368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86032193MNMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1689143307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 FRANKLIN AVE APT 405",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551143004",
            "telephone_number": "218-841-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 FRANKLIN AVE APT 405",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551143004",
            "telephone_number": "218-841-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINAKER",
        "first_name": "HANNA",
        "middle_name": "ELISABET",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MN",
            "license": "86032193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.