Active NPI
Eugenie Amnda Gosselin, RDN
- Registered Dietitian
- Brawley, CA
National Provider Identifier
1154298743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86168474
- Practice address
- 4231 US Highway 86 Ste 1
Brawley, CA 92227-9648 - Phone
- (760) 996-4717
- NPI assigned
- Oct 20, 2025
- Last updated
- Oct 20, 2025
- Sex
- Female
- 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 | 86168474 | CA | Primary |
Addresses
Primary practice location
4231 US Highway 86 Ste 1
Brawley, CA 92227-9648
Mailing address
1600 W Lincoln Ave Unit 171
Anaheim, CA 92801-5566
Phone (562) 712-1654
Other practice location 1
1600 W Lincoln Ave Unit 171
Anaheim, CA 92801-5566
Phone (562) 712-1654 ext. 21654
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86168474 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HLT Nutrition Co Inc. | Dietitian, Registered | Current | Accepting new patients |
Locations
4231 US Highway 86
Ste 1
Brawley, CA 92227
Phone (657) 566-1492
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1154298743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W LINCOLN AVE UNIT 171",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928015566",
"telephone_number": "562-712-1654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4231 US HIGHWAY 86 STE 1",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922279648",
"telephone_number": "760-996-4717"
}
],
"practiceLocations": [
{
"address_1": "1600 W Lincoln Ave Unit 171",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928015566",
"country_code": "US",
"telephone_number": "562-712-1654 x21654",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOSSELIN",
"first_name": "EUGENIE",
"middle_name": "AMNDA",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-20",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86168474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brawley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.