Malvina Ann Goodwin, RD CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

579458

Practice address

7102 W Okanogan Place
Kennewick, WA 99336

Phone

(509) 460-4246

Fax

(509) 585-1525

NPI assigned

May 29, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Annie Goodwin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Benton Franklin District Health Department

  • Public Health or Welfare Agency
  • Kennewick, WA
  • NPI 1497752646
  NPD (past)

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1063670701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7102 W OKANOGAN PLACE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-460-4246",
            "fax_number": "509-585-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7102 W OKANOGAN PLACE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-460-4246",
            "fax_number": "509-585-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "MALVINA",
        "middle_name": "ANN",
        "credential": "RD CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "579458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8267387",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "GOODWIN",
            "credential": "RD CD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Zoe Nicole Gonzalez
• Jennifer Darlene Gooch, LMP
• Melissa L Good, STATE CERTIFIED BIRT
• Deeann Goodrich
• Goodwill Industries of the Columbia, Inc.
• Nancy L Goodwin, PAC
• Jessica Molly Gore, L.M.T
• Kathleen Gorman
• Avishek Goswami, MD
• Joanna Goulart

• Registered Dietitian in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.