Active NPI
Claire M Goggins, RD, LDN
- Registered Dietitian
- Ballwin, MO
National Provider Identifier
1124590351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 15945 Clayton Rd Ste 310
Ballwin, MO 63011-2493 - Phone
- (636) 893-1356
- Fax
- (636) 893-1358
- NPI assigned
- Dec 28, 2018
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
15945 Clayton Rd Ste 310
Ballwin, MO 63011-2493
Mailing address
PO Box 776084
Chicago, IL 60677-4485
Phone (366) 893-1356
Other names 1
- Claire M Ford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Current | Accepting new patients |
Locations
15945 Clayton Rd
Ste 310
Ballwin, MO 63011
Phone (636) 893-1356
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1124590351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776084",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606774485",
"telephone_number": "366-893-1356",
"fax_number": "636-893-1358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15945 CLAYTON RD STE 310",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630112493",
"telephone_number": "636-893-1356",
"fax_number": "636-893-1358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOGGINS",
"first_name": "CLAIRE",
"middle_name": "M",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-28",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CLAIRE",
"last_name": "FORD",
"middle_name": "M",
"credential": "RD, LDN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.