Individual provider Active NPI

Rosalie Olivia Grant, RD

  • Registered Dietitian
  • Woodbury, MN
National Provider Identifier
1780431890
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
5238 Issued in MN
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

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
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 47 clinicians

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

LicenseStateTypeSpecialty
5238MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Season Clinical Care P.a. Dietitian, Registered CurrentSince Dec 30, 2024 Accepting new patients
Surely Health, Inc. Dietitian, Registered CurrentSince Dec 30, 2024 Accepting new patients
Uhling Consulting, LLC Dietitian, Registered CurrentSince Feb 28, 2025 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.