Taylor Nicole Grgurich, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

083778 Issued in IA

Practice address

3210 SE Corporate Woods Dr
Ankeny, IA 50021-7405

Phone

(866) 716-3257

NPI assigned

Aug 16, 2016

Last updated

Dec 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1992250302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S D ST",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525773202",
            "telephone_number": "641-673-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 SE CORPORATE WOODS DR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500217405",
            "telephone_number": "866-716-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRGURICH",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "083778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Ankeny, IA
• Providers in Ankeny, 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 20, 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.