Derek Groathouse, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

121584 Issued in IA

Practice address

3801 S James St Ste 400
Grimes, IA 50111-5167

Phone

(515) 695-3767

NPI assigned

Dec 26, 2023

Last updated

Dec 26, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Belmond Community Hospital

  dba Iowa Specialty Hospital- Belmond

  • Family Medicine Physician
  • Belmond, IA
  • NPI 1821122623
  Medicare reassignment NPD
• Iowa Specialty Hospital- Clarion

  • Critical Access Hospital
  • Clarion, IA
  • NPI 1396760153
  Medicare reassignment NPD
• Belmond Community Hospital

  dba Iowa Specialty Hospital-Belmond

  • Ambulance
  • Belmond, IA
  • NPI 1659417764
  NPD (past)
• Iowa Specialty Hospital- Clarion

  • Critical Access Hospital
  • Clarion, IA
  • NPI 1578588331
  NPD (past)
• Iowa Specialty Hospital- Clarion

  • Critical Access Hospital
  • Clarion, IA
  • NPI 1821045451
  NPD (past)

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1881463370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 S DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108504",
            "telephone_number": "515-480-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S JAMES ST STE 400",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501115167",
            "telephone_number": "515-695-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROATHOUSE",
        "first_name": "DEREK",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "121584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Godfrey
• Matthew Goes, PT
• Anna Gray, MPT
• Grimes Dental Enterprises, LLC
• Grimes Pediatric Dentistry P C (Grimes Pediatric Dentistry)
• Grove and Platt Dental Associates PLC
• Jennifer Leigh Grove, D.D.S.
• GRX Holdings LLC (Medicap Pharmacy)
• GRX Holdings LLC (Medicap Pharmacy)
• Sara Marie Haerther, RD, LD, MPP-D

• Registered Dietitian in Grimes, IA
• Providers in Grimes, IA by specialty
• Registered Dietitian in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.