Individual provider · Type 1 NPI

Jeannine Anne Groll, RDN

Registered Dietitian · Preston, ID

NPI number 1487328480 Active

Practice location

130 E 3rd S
Preston, ID 83263-1530

Mailing address

106 N Bear River Blfs
Preston, ID 83263-5184

Other practice locations

  • 60 W 1000 N, Logan, UT 84321-2240 · (208) 406-9586
  • 106 N Bear River Blfs, Preston, ID 83263-5184 · (208) 406-9586

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian 133V00000XD-1334 (ID)
Registered Dietitian Primary 133V00000X363888-4901 (UT)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1487328480

Jeannine Anne Groll, RDN's National Provider Identifier is 1487328480, issued on Aug 3, 2021. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Preston, ID. The record was last updated on Jan 19, 2026.