Active NPI
Be Food Wise
- Oncology Nutrition Registered Dietitian
- Modesto, CA
National Provider Identifier
1083487649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Nutrition Registered Dietitian
- Legal business name
- BE FOOD WISE
- Practice address
- 931 10TH St Ste 771
Modesto, CA 95354-2305 - Phone
- (209) 771-4717
- NPI assigned
- Nov 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Beth Goodridge, MS, RD, CSO
- Title
- Owner
- Phone
- (650) 954-7946
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Oncology Nutrition Registered Dietitian | 133VN1301X | Primary |
Addresses
Primary practice location
931 10TH St Ste 771
Modesto, CA 95354-2305
Mailing address
612 Sycamore Ave
Modesto, CA 95354-0151
Phone (650) 954-7946
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698969600000",
"number": "1083487649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 SYCAMORE AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953540151",
"telephone_number": "650-954-7946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 10TH ST STE 771",
"city": "MODESTO",
"state": "CA",
"postal_code": "953542305",
"telephone_number": "209-771-4717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BE FOOD WISE",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-03",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A",
"authorized_official_last_name": "GOODRIDGE",
"authorized_official_first_name": "BETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "650-954-7946",
"authorized_official_credential": "MS, RD, CSO"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1301X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.