Active NPI
Rosalie Olivia Grant, RD
- Registered Dietitian
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5238
- Practice address
- 4040 Radio Dr
Woodbury, MN 55129-3237 - Phone
- (651) 439-8807
- Fax
- (651) 439-0232
- NPI assigned
- May 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 5238 | MN | Primary |
| Registered Dietitian | 133V00000X | 5686-29 | WI |
Addresses
Primary practice location
4040 Radio Dr
Woodbury, MN 55129-3237
Mailing address
3500 American Blvd W Ste 300
Bloomington, MN 55431-4442
Phone (952) 512-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WI, AZ, IA, DC, WA
Enrollment records 6
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250314001927 | TX | Practitioner - Registered Dietitian Or Nutrition Professional | 1951823376 | Reassigns benefits to 2 organizations |
| I20250423003739 | WI | Practitioner - Registered Dietitian Or Nutrition Professional | 1951823376 | Reassigns benefits to 1 organization |
| I20250429000980 | AZ | Practitioner - Registered Dietitian Or Nutrition Professional | 1951823376 | Reassigns benefits to 3 organizations |
| I20250521001625 | IA | Practitioner - Registered Dietitian Or Nutrition Professional | 1951823376 | Reassigns benefits to 1 organization |
| I20250603003082 | DC | Practitioner - Registered Dietitian Or Nutrition Professional | 1951823376 | Reassigns benefits to 1 organization |
| I20251121002648 | WA | Practitioner - Registered Dietitian Or Nutrition Professional | 1951823376 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Surely Health Inc
Practice addresses (Care Compare)
130 E Congress St
Suite 200 139
Tucson, AZ 85701-1708
Phone (724) 307-5926
6565 N Macarthur Blvd
Suite 225
Irving, TX 75039-2482
Phone (888) 807-4117
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5238 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Season Clinical Care P.a. | Dietitian, Registered | Current | Accepting new patients |
| Surely Health, Inc. | Dietitian, Registered | Current | Accepting new patients |
| Uhling Consulting, LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
20325 N 51st Ave
Ste 126
Glendale, AZ 85308
Phone (602) 341-5248
2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248
130 E Congress St
Ste 200139
Tucson, AZ 85701
Phone (724) 307-5926
130 E Congress St
Ste 213
Tucson, AZ 85701
3480 Preston Ridge Rd
Ste 500
Alpharetta, GA 30005
Phone (412) 287-4983
1120 Depot Ln SE
Ste 100
Cedar Rapids, IA 52401
Phone (319) 237-3193
101 Glen Lennox Dr
Unit 300
Chapel Hill, NC 27517
Phone (561) 203-6085
6565 N MacArthur Blvd
Ste 225
Irving, TX 75039
Phone (972) 635-0489
1710 Keller Pkwy
Keller, TX 76248
Phone (210) 201-2364
2800 Eisenhower Ave
Ste 220
Alexandria, VA 22314
Phone (540) 358-0423
3600 136th Pl SE
Bellevue, WA 98006
345 W Washington Ave
Ste 301
Madison, WI 53703
Phone (312) 999-0201
Interoperability endpoints
- https://api.platform.athenahealth.com/19691/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Registered Dietitian
- Irving, TX
- NPI 1649933565
AZ, DC, Dietitian, Registered, IA, TX, WA, WI
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1780431890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 AMERICAN BLVD W STE 300",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554314442",
"telephone_number": "952-512-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 RADIO DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551293237",
"telephone_number": "651-439-8807",
"fax_number": "651-439-0232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "ROSALIE",
"middle_name": "OLIVIA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-06",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MN",
"license": "5238",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "WI",
"license": "5686-29",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.