Individual provider Active NPI

Ann M Grothe, RD

  • Renal Nutrition Registered Dietitian
  • Killeen, TX
National Provider Identifier
1891803813
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
DT06800 Issued in TX
Practice address
726 S Fort Hood St
Ste. # 115 - Fmcna CKD Services
Killeen, TX 76541-7431
Phone
(254) 554-3366
Fax
(254) 628-8998
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X DT06800 TX Primary

Addresses

Primary practice location

726 S Fort Hood St
Ste. # 115 - Fmcna CKD Services
Killeen, TX 76541-7431

Mailing address

411 Silver Creek Dr
Harker Heights, TX 76548-6052
Phone (254) 698-1681

Other names 1

  • Ann M Suwne Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT06800TXMDRenal Nutrition Registered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1891803813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 SILVER CREEK DR",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765486052",
            "telephone_number": "254-698-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 S FORT HOOD ST",
            "address_2": "STE. # 115 - FMCNA CKD SERVICES",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765417431",
            "telephone_number": "254-554-3366",
            "fax_number": "254-628-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTHE",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "TX",
            "license": "DT06800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "SUWNE",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.