HALEY NICHOLE GOODFELLOW RD, LDN
NPI 1952929283
Dietitian, Registered in Edwardsville, IL

Active since July 13, 2020Accepts Medicare Assignment
60 S STATE ROUTE 157, EDWARDSVILLE, IL 62025(618) 655-8147 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Haley Nichole Goodfellow Rd, Ldn NPPES

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

HALEY NICHOLE GOODFELLOW RD, LDN (NPI 1952929283) is an individual dietitian, registered in Edwardsville, Illinois, licensed in Illinois (164008029) and active in the NPI registry since July 2020. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1952929283
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameHALEY NICHOLE GOODFELLOWCredential: RD, LDN
Location Address60 S STATE ROUTE 157Edwardsville, IL 62025-3846
Mailing Address213 Longview DrColumbia, IL 62236-2079 · (618) 531-6029
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 13, 2020
NPPES CertifiedJuly 13, 2020
NPI 1952929283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses Licensed in IL · 164008029 Licensed in MO · 2020013164
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.
60 S STATE ROUTE 157, Edwardsville, IL 62025

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Haley Nichole Goodfellow Rd, Ldn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688012420
PECOS Enrollment IDI20240329001502

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.28 – $173.35
Typical copayment $0.00 (range $14.07 – $43.33)
Most-billed visit code NA
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
60 S STATE ROUTE 157
EDWARDSVILLE, IL 62025
Dietitian, Registered
60 S STATE ROUTE 157
EDWARDSVILLE, IL 62025
Speech-Language Pathologist
60 S STATE ROUTE 157, SUITE 20
EDWARDSVILLE, IL 62025
Counselor (Mental Health)
60 S STATE ROUTE 157, SUITE 18
EDWARDSVILLE, IL 62025
Behavior Analyst
60 S STATE ROUTE 157
EDWARDSVILLE, IL 62025
Counselor (Professional)
60 S STATE ROUTE 157
EDWARDSVILLE, IL 62025
Social Worker (Clinical)
60 S STATE ROUTE 157
EDWARDSVILLE, IL 62025
Counselor (Professional)
60 S STATE ROUTE 157
EDWARDSVILLE, IL 62025

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 Haley Goodfellow's NPI number?

The NPI number for Haley Goodfellow is 1952929283. It was assigned to this individual provider in the NPPES registry on July 13, 2020.

Where is Haley Goodfellow located?

Haley Goodfellow practices at 60 S State Route 157, Edwardsville, IL 62025. The listed phone number is (618) 655-8147.

What is Haley Goodfellow's specialty?

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

Is Haley Goodfellow enrolled in Medicare?

Yes. Haley Goodfellow is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Haley Goodfellow accept?

Health plans from Blue Cross and Blue Shield of Texas and Medica list Haley Goodfellow 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 Haley Goodfellow was last updated on July 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.