GLORIA GRIMBLOT RDCSP
NPI 1912044504
Dietitian, Registered - Nutrition, Pediatric in Crescent City, CA

Q: What is Gloria Grimblot's NPI number?

The NPI number for Gloria Grimblot is 1912044504. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Q: What is Gloria Grimblot's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

Q: When was this NPI record last updated?

The NPPES record for Gloria Grimblot was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 31, 2007

800 E WASHINGTON BLVD, CRESCENT CITY, CA 95531(707) 464-8511 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Gloria Grimblot Rdcsp NPPES

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

GLORIA GRIMBLOT RDCSP (NPI 1912044504) is an individual nutrition, pediatric provider in Crescent City, California, licensed in Nevada (707433) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1912044504

Entity TypeIndividualFemale

Primary Taxonomy133VN1004X

Provider Legal NameGLORIA GRIMBLOTCredential: RDCSP

Location Address800 E WASHINGTON BLVDCrescent City, CA 95531-8359

Mailing Address800 E Washington BlvdCrescent City, CA 95531-8359 · (707) 464-8511

Phone(707) 464-8511

Sole ProprietorNo

Enumeration DateJanuary 31, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1912044504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers

Taxonomy Code133VN1004X

License✔ Licensed in NV · 707433

Definition

An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.

800 E WASHINGTON BLVD, Crescent City, CA 95531

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