The Wellness Grove LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

THE WELLNESS GROVE LLC

Practice address

23 S Market St Ste 201
Elizabethtown, PA 17022-2308

Phone

(717) 282-1864

Fax

(717) 678-6322

NPI assigned

Jan 20, 2022

Organization subpart

No

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

Authorized official

Name

Nikita Grove, RD

Title

Owner

Phone

(717) 282-1864

Specialties & licenses 1

Addresses

Other names 1

• The Wellness Grove Doing business as

Locations

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1881346963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 S MARKET ST STE 201",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222308",
            "telephone_number": "717-282-1864",
            "fax_number": "717-678-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S MARKET ST STE 201",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222308",
            "telephone_number": "717-282-1864",
            "fax_number": "717-678-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS GROVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "GROVE",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-282-1864",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wellness Grove",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Wellness Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Dietitian in Elizabethtown, PA
• Providers in Elizabethtown, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.