Tracy Rachae Granberry, RD
NPI 1376028340ActiveIndividual· Dietitian, Registered· Riverside, CA
Dietitian, Registered (RD) in Riverside, California, licensed in CA, with an NPI issued in September 2018. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1376028340 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD |
| Sole proprietor | Yes |
| NPI issued | Sep 26, 2018 |
| Last updated in NPPES | Sep 26, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 920321 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (CA) |
|---|
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