Sara Angela Goodale, RD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

965214 Issued in AZ

Practice address

1919 E. Thomas Rd.
Phoenix, AZ 85016-7710

Phone

(602) 933-0935

Fax

(602) 933-0610

NPI assigned

Mar 20, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Sara Angela Maltby Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1053738682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 E. THOMAS RD.",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167710",
            "telephone_number": "602-512-8030",
            "fax_number": "602-512-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E. THOMAS RD.",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167710",
            "telephone_number": "602-933-0935",
            "fax_number": "602-933-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODALE",
        "first_name": "SARA",
        "middle_name": "ANGELA",
        "credential": "RD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "965214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "MALTBY",
            "middle_name": "ANGELA",
            "credential": "RD, CDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Good Samaritan Physicians Association, Inc.
• Good Shepherd Healthcare LLC
• Good Shepherd Healthcare LLC
• Brianna Good
• Cynthia Anne Good, RPH
• Benjamin J Goode, MD
• Marquita Goode
• Natalie Rene Goode, MSW
• Carolyn Gooden-Spearman, LPN
• Keith Goodenough

• Registered Dietitian in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.