Tammy Elva Grayum, RD, LD

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

2004024027 Issued in MO

Practice address

14171 State Road TT
Festus, MO 63028-4819

Phone

(573) 513-5380

NPI assigned

Oct 28, 2007

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465
  NPD (past)

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

{
    "created_epoch": "1193529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193529600000",
    "number": "1730368671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14171 STATE ROAD TT",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284819",
            "telephone_number": "573-513-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14171 STATE ROAD TT",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284819",
            "telephone_number": "573-513-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYUM",
        "first_name": "TAMMY",
        "middle_name": "ELVA",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-28",
        "last_updated": "2007-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "MO",
            "license": "2004024027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Gravatt, LPC
• Amber Sue Gray, LMSW
• Cara Gray
• Christopher Charles Gray, D.O.
• Courtney Rose Gray, AGPCNP-BC
• James D Green, FNP
• Laurie D Greer-Retzer
• Gregg a Ginsburg MD PC
• Camille Grove
• Nicole Renee Guerrero, ANP-BC

• Metabolic Nutrition Registered Dietitian in Festus, MO
• Providers in Festus, MO by specialty
• Metabolic Nutrition Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2007; 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.