Individual provider Active NPI

Grace Cooper, RD

  • Registered Dietitian
  • Midlothian, VA
National Provider Identifier
1780322834
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
3000 Watercove Rd
Midlothian, VA 23112-3982
Phone
(804) 744-0200
Fax
(804) 744-8417
NPI assigned
May 26, 2022
Last updated
May 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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 NU Primary

Addresses

Primary practice location

3000 Watercove Rd
Midlothian, VA 23112-3982

Mailing address

4900 Cox Rd Ste 155
Glen Allen, VA 23060-6507
Phone (804) 726-8571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220712003408 VA Practitioner - Registered Dietitian Or Nutrition Professional 4486035177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Physicians IncGroup PAC ID 5597650804, 93 clinicians

Practice addresses (Care Compare)

15769 WC Main St
Midlothian, VA 23113-7327
Phone (804) 419-9760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Physicians Inc CurrentSince Jun 20, 2022 Accepting new patients
NPI 1477614964 CurrentSince Jun 20, 2022 Accepting new patients
Virginia Physicians Inc Current Accepting new patients

Locations

4900 Cox Rd
Ste 150
Glen Allen, VA 23060
Phone (804) 346-1780

4900 Cox Rd
Ste 155
Glen Allen, VA 23060
Phone (804) 726-8571

9376 Atlee Station Rd
Mechanicsvlle, VA 23116
Phone (804) 730-0990

15769 Wc Main St
Midlothian, VA 23113
Phone (804) 419-9760

3000 Watercove Rd
Midlothian, VA 23112
Phone (804) 744-0200

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1780322834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 COX RD STE 155",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606507",
            "telephone_number": "804-726-8571",
            "fax_number": "804-726-8574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WATERCOVE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123982",
            "telephone_number": "804-744-0200",
            "fax_number": "804-744-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "GRACE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.