Beth Ann Goltry, RD

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

521206 Issued in CA

Practice address

5030 Office Park Drive
Suite a
Bakersfield, CA 93309-0612

Phone

(661) 323-2847

Fax

(661) 323-0566

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Central Nephrology Medical GRP Inc

  • Nephrology Physician
  • Bakersfield, CA
  • NPI 1750450698
  NPD (past)
• Kern Nephrology Medical Group

  • Nephrology Physician
  • Bakersfield, CA
  • NPI 1962454140
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285731364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 OFFICE PARK DRIVE",
            "address_2": "SUITE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090612",
            "telephone_number": "661-323-2847",
            "fax_number": "661-323-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 OFFICE PARK DRIVE",
            "address_2": "SUITE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090612",
            "telephone_number": "661-323-2847",
            "fax_number": "661-323-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLTRY",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "CA",
            "license": "521206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDR",
            "identifier": "521206",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Golding
• Shannon Michelle Golding X
• Glenn E. Goldis, MD
• Harini Goli, MD
• Adria George Golla
• Fernando Gomez Martinez
• Jose Gomez Ramos
• Crystal Diana Gomez Santiago
• Estephanie Gomez-Ibarra
• Alexandrea A Gomez

• Renal Nutrition Registered Dietitian in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Renal Nutrition Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.