GREEN BEAN GROVE LLC
NPI 1114884673
Dietitian, Registered in Huntsville, AL

Q: What is Green Bean Grove LLC's NPI number?

The NPI number for Green Bean Grove LLC is 1114884673. It was assigned to this organization in the NPPES registry on January 7, 2026.

Q: What is Green Bean Grove LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since January 07, 2026

1108 OSHAUGHNESSY AVE NE, HUNTSVILLE, AL 35801(256) 213-1702 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Green Bean Grove Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREEN BEAN GROVE LLC (NPI 1114884673) is a healthcare organization registered as a dietitian, registered in Huntsville, Alabama and active in the NPI registry since January 2026. The organization lists Leslie Johnson, Registered Dietitian, as its authorized official.

NPPES Registry Identity

NPI1114884673

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameGREEN BEAN GROVE LLC

Location Address1108 OSHAUGHNESSY AVE NEHuntsville, AL 35801-6261

Mailing Address1108 Oshaughnessy Ave NeHuntsville, AL 35801-6261 · (256) 213-1702

Phone(256) 213-1702

Organization SubpartNo

Authorized OfficialLeslie JohnsonRegistered Dietitian · (256) 679-4764

Enumeration DateJanuary 7, 2026

NPPES CertifiedJanuary 7, 2026

✔ NPI 1114884673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

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 purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1108 OSHAUGHNESSY AVE NE, Huntsville, AL 35801

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Green Bean Grove Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Green Bean Grove LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Leslie Johnson

Registered Dietitian or Nutrition Professional

NPI 1003540378

1221 HAYES AVE
Sandusky, OH 44870

(419) 557-6990

✔ Accepts Medicare508 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Green Bean Grove LLC's NPI number?

The NPI number for Green Bean Grove LLC is 1114884673. It was assigned to this organization in the NPPES registry on January 7, 2026.

Where is Green Bean Grove LLC located?

Green Bean Grove LLC is located at 1108 Oshaughnessy Ave NE, Huntsville, AL 35801. The listed phone number is (256) 213-1702.

What is Green Bean Grove LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Green Bean Grove LLC enrolled in Medicare?

Yes. Green Bean Grove LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Green Bean Grove LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Green Bean Grove LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Green Bean Grove LLC was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.