Active NPI
Amy Good, RD, LD
- Registered Dietitian
- Yarmouth, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 7627
- Practice address
- 253 Main St
Yarmouth, ME 04096-6800 - Phone
- (207) 387-1590
- Fax
- (866) 519-6015
- NPI assigned
- Oct 22, 2015
- 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 | 7627 | OH | Primary |
Addresses
Primary practice location
253 Main St
Yarmouth, ME 04096-6800
Mailing address
PO Box 292
Holland, OH 43528-0292
Phone (419) 405-3663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, HI
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7627 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Queen'S Medical Center | Current | Accepting new patients | |
| The Queens Medical Center | Current | Accepting new patients | |
| Primary Care Physician Enterprise LLC | Current | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Current | Accepting new patients |
| The Queens Medical Center - Progressive Care Unit | Past | Accepting new patients | |
| Queens University Medical Group | Past | Accepting new patients | |
| Medical University of Ohio at Toledo | Past | Accepting new patients |
Locations
515 S Flower St
#1015
Los Angeles, CA 90071
91-6390 Kapolei Pkwy
Ste 200
Ewa Beach, HI 96706
Phone (612) 802-2986
550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897
1380 Lusitana St
Ste 300
Honolulu, HI 96813
Phone (808) 691-4202
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940
500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000
3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039
Organizations & group practices 7
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.
-
- Clinic/Center
- Ewa Beach, HI
- NPI 1164054763
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1487693586
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1811971302
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1891441382
-
- Skilled Nursing Facility
- Honolulu, HI
- NPI 1851389365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1275905853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 292",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435280292",
"telephone_number": "419-405-3663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "253 MAIN ST",
"city": "YARMOUTH",
"state": "ME",
"postal_code": "040966800",
"telephone_number": "207-387-1590",
"fax_number": "866-519-6015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOD",
"first_name": "AMY",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-22",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "7627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yarmouth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.