PATRICIA S GOODMAN RD - NPI 1063576528 - Dietitian, Registered in Longview, WA

Q: What is Patricia Goodman's NPI number?

The NPI number for Patricia Goodman is 1063576528. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Q: What is Patricia Goodman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Patricia Goodman was last updated on October 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.

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About Patricia S Goodman Rd NPPES

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

PATRICIA S GOODMAN RD (NPI 1063576528) is an individual dietitian, registered in Longview, Washington, licensed in Washington (DI00001010) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1063576528

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NamePATRICIA S GOODMANCredential: RD

Location Address1057 12TH AVELongview, WA 98632-2509

Mailing Address1057 12th AveLongview, WA 98632-2509 · (360) 423-7740 · Fax (360) 423-7894

Phone(360) 423-7740

Fax(360) 423-7894

Sole ProprietorNo

Enumeration DateDecember 20, 2006

Last NPPES UpdateOctober 24, 2017

✔ NPI 1063576528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in WA · DI00001010

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.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License DI00001010 (WA)

1057 12TH AVE, Longview, WA 98632

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Other Identifiers 1

Medicare ID-Type Unspecified8263550WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIAN COOPER

Counselor (Mental Health)