Individual provider Active NPI

Anita Velta Grinevics, RD

  • Registered Dietitian
  • Cromwell, CT
National Provider Identifier
1972872554
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
000639 Issued in CT
Practice address
136 Berlin Rd
Cromwell, CT 06416-2627
Phone
(860) 632-3977
NPI assigned
Dec 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 000639 CT Primary

Addresses

Primary practice location

136 Berlin Rd
Cromwell, CT 06416-2627

Mailing address

136 Berlin Rd
Cromwell, CT 06416-2627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IL, OH, CO, TX, NJ6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20250115000281 NY Practitioner - Registered Dietitian Or Nutrition Professional 7012445349 Reassigns benefits to 1 organization
I20250205003006 IL Practitioner - Registered Dietitian Or Nutrition Professional 7012445349 Reassigns benefits to 1 organization
I20250410002663 OH Practitioner - Registered Dietitian Or Nutrition Professional 7012445349 Reassigns benefits to 1 organization
I20251003001122 CO Practitioner - Registered Dietitian Or Nutrition Professional 7012445349 Reassigns benefits to 1 organization
I20251003001497 TX Practitioner - Registered Dietitian Or Nutrition Professional 7012445349 Reassigns benefits to 2 organizations
I20251008001938 NJ Practitioner - Registered Dietitian Or Nutrition Professional 7012445349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1710 Keller Pkwy
Suite 6565
Keller, TX 76248-3749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Season Medical Care Ny PC Dietitian, Registered CurrentSince Sep 1, 2025 Accepting new patients
Season Clinical Care P.a. Dietitian, Registered CurrentSince Sep 1, 2025 Accepting new patients
Season Clinical Care NJ PC Dietitian, Registered CurrentSince Sep 1, 2025 Accepting new patients
Surely Health, Inc. Dietitian, Registered CurrentSince Sep 1, 2025 Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
H-E-B, LP PastSince Sep 1, 2025 Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients

Locations

102 S Tejon St
Ste 100
Colorado Springs, CO 80903
Phone (970) 319-2999

1719 Highway 10
Parsippany, NJ 07054

1719 Highway 10
Ste 300
Parsippany, NJ 07054

300 Cadman Plz W
Ste 1
Brooklyn, NY 11201

6565 N MacArthur Blvd
Ste 225
Irving, TX 75039
Phone (972) 635-0489

1710 Keller Pkwy
Keller, TX 76248
Phone (210) 201-2364

Interoperability endpoints

  • Direct secure messaging: anita.grinevics.1@25522.direct.athenahealth.com

Organizations & group practices 10

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": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1972872554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 BERLIN RD",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 BERLIN RD",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162627",
            "telephone_number": "860-632-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINEVICS",
        "first_name": "ANITA",
        "middle_name": "VELTA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "000639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cromwell, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.