Kaitlin Marie Goerzen

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86072141 Issued in CA

Practice address

Community Regional Medical Center
2823 N Fresno St
Fresno, CA 93721

Phone

(559) 459-4703

NPI assigned

Jul 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1245964287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 N SAFFORD AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937281634",
            "telephone_number": "559-859-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMUNITY REGIONAL MEDICAL CENTER",
            "address_2": "2823 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93721",
            "telephone_number": "559-459-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOERZEN",
        "first_name": "KAITLIN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86072141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Godoy
• Valeria Godoy
• Donna Calderon Goebel, OD
• Paul J Goebel, M.D.
• Alize Goerzen
• Amanda Leigh Goetz
• Gohar Ashraf PC
• Diasha Kashante Goins
• Thomanesha R Goins
• Natsumi Goishi

• Registered Dietitian in Fresno, CA
• Providers in Fresno, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.