Individual provider Active NPI

Juliane Gregory Goicoechea, MS, RD, LDN

  • Registered Dietitian
  • Pembroke, MA
National Provider Identifier
1265706477
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
818448 Issued in MA
Practice address
50 Sparrow LN
Pembroke, MA 02359-3342
Phone
(781) 754-0359
NPI assigned
Mar 6, 2012
Last updated
Mar 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2511 MA
Registered Dietitian 133V00000X 818448 MA Primary

Addresses

Primary practice location

50 Sparrow LN
Pembroke, MA 02359-3342

Mailing address

50 Sparrow LN
Pembroke, MA 02359-3342
Phone (781) 754-0359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120426000514 MA Practitioner - Registered Dietitian Or Nutrition Professional 1850553447 Practice locations: Norwood, MA; Plymouth, MA

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20 Thoreau Rd
Plymouth, MA 02360-3539
Phone (508) 944-8812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
818448MAMDRegistered Dietitian
2511MAMDFoot & Ankle Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1265706477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 SPARROW LN",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023593342",
            "telephone_number": "781-754-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SPARROW LN",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023593342",
            "telephone_number": "781-754-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOICOECHEA",
        "first_name": "JULIANE",
        "middle_name": "GREGORY",
        "name_prefix": "Mrs.",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "2511",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "818448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.