Active NPI
Daniel Goebel, RD, LDN
- Registered Dietitian
- Boston, MA
National Provider Identifier
1083220586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 5065
- Practice address
- 31 Saint James Ave
Boston, MA 02116-4101 - Phone
- (360) 441-0349
- NPI assigned
- Sep 20, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 5065 | MA | Primary |
Addresses
Primary practice location
31 Saint James Ave
Boston, MA 02116-4101
Mailing address
56 Prince St Apt 1
Boston, MA 02113-1826
Phone (360) 441-0349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5065 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition for Performance | Dietitian, Registered | Current | Accepting new patients |
Locations
31 Saint James Ave
Boston, MA 02116
Phone (360) 441-0349
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600560000000",
"number": "1083220586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 PRINCE ST APT 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021131826",
"telephone_number": "360-441-0349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 SAINT JAMES AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021164101",
"telephone_number": "360-441-0349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOEBEL",
"first_name": "DANIEL",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-20",
"last_updated": "2020-09-20",
"certification_date": "2020-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "5065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.