Individual provider Active NPI

Eugenie Amnda Gosselin, RDN

  • Registered Dietitian
  • Brawley, CA
National Provider Identifier
1154298743
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86168474 Issued in CA
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
86168474CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
HLT Nutrition Co Inc. Dietitian, Registered CurrentSince Nov 7, 2025 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.

Verify at the official NPI Registry.