Individual provider Active NPI

Barbara Gamble Goshorn, RN, MSACN

  • Nutrition Education Nutritionist
  • Webster, NY
National Provider Identifier
1215225784
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
License
379878-1 Issued in NY
Practice address
725 Ridge Rd
Webster, NY 14580-2450
Phone
(585) 671-0934
Fax
(585) 971-9082
NPI assigned
Jul 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 379878-1 NY Primary

Addresses

Primary practice location

725 Ridge Rd
Webster, NY 14580-2450

Mailing address

725 Ridge Rd
Webster, NY 14580-2450
Phone (585) 671-0934

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
379878-1NYMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Goshorn Chiropractic P.C. PastSince Mar 31, 2000 Accepting new patients
Highland Hospital of Rochester Past Accepting new patients

Organizations & group practices 2

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": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1215225784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802450",
            "telephone_number": "585-671-0934",
            "fax_number": "585-971-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RIDGE RD",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802450",
            "telephone_number": "585-671-0934",
            "fax_number": "585-971-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSHORN",
        "first_name": "BARBARA",
        "middle_name": "GAMBLE",
        "name_prefix": "Mrs.",
        "credential": "RN, MSACN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NY",
            "license": "379878-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.