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JESSICA ANN GOLDBERG RD
NPI 1366049199
Dietitian, Registered in Boca Raton, FL

Active since October 05, 2020
21301 POWERLINE RD STE 107, BOCA RATON, FL 33433(561) 299-1164 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 21, 2023, Oct 5, 2020 (2 updates tracked since 2020).

About Jessica Ann Goldberg Rd NPPES

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

JESSICA ANN GOLDBERG RD (NPI 1366049199) is an individual dietitian, registered in Boca Raton, Florida, licensed in Florida (86102177) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1366049199
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJESSICA ANN GOLDBERGCredential: RD
Location Address21301 POWERLINE RD STE 107Boca Raton, FL 33433-2389
Mailing Address21301 Powerline Rd Ste 107Boca Raton, FL 33433-2389
Phone(561) 299-1164
Sole ProprietorYes
Enumeration DateOctober 5, 2020
Last NPPES UpdateFebruary 21, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
✔ NPI 1366049199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in FL · 86102177
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.
21301 POWERLINE RD STE 107, Boca Raton, FL 33433
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Other Identifiers 1

Other86102177FL · Registered Dietitian

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Ann Goldberg Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Jessica Goldberg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dietitian Group Corporation
0.5 mi
Nutritionist
7440 SAN CLEMENTE PL
Boca Raton, FL 33433
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group
NPI 1093312381 (718) 877-4937
Nourish, Inc.
1,105 mi
Dietitian, Registered
3724 JEFFERSON ST STE 104
Austin, TX 78731
  • Reassigned Medicare billing, Texas enrollment
  • 487 clinicians in this Medicare group
NPI 1558097824 (512) 693-7045

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

Other Providers at the Same Location NPPES 5

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

ANDREW BENNETT
Anesthesiology (Pain Medicine)
21301 POWERLINE RD STE 107
BOCA RATON, FL 33433
Palm Beach County (866) 228-7676
MRS. PAULINA GONZALEZ RUL MS, LDN, CNS
Nutritionist
21301 POWERLINE RD STE 107
BOCA RATON, FL 33433
Palm Beach County (561) 299-1164
CARYN ROCHELLE STAIRS RD, LDN
Dietitian, Registered
21301 POWERLINE RD STE 107
BOCA RATON, FL 33433
Palm Beach County (561) 299-1164
ADB MD PLLC
Anesthesiology (Pain Medicine)
21301 POWERLINE RD STE 107
BOCA RATON, FL 33433
Palm Beach County (347) 721-6512
DEENA YEAMANS RDN
Dietitian, Registered
21301 POWERLINE RD STE 107
BOCA RATON, FL 33433
Palm Beach County (305) 256-5067

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 Jessica Goldberg's NPI number?

The NPI number for Jessica Goldberg is 1366049199. It was assigned to this individual provider in the NPPES registry on October 5, 2020.

Where is Jessica Goldberg located?

Jessica Goldberg practices at 21301 Powerline Rd Ste 107, Boca Raton, FL 33433. The listed phone number is (561) 299-1164.

What is Jessica Goldberg's specialty?

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

Is Jessica Goldberg enrolled in Medicare?

Yes. Jessica Goldberg is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jessica Goldberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Goldberg reassigns Medicare benefits to 2 organizations: Dietitian Group Corporation (Boca Raton, FL) and Nourish, Inc. (Austin, TX). Each 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 Jessica Goldberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Goldberg accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Blue Cross and Blue Shield of Texas and 4 other insurers list Jessica Goldberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Goldberg was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.