Individual provider Active NPI

Heather Kathleen Goldbeck, RD

  • Registered Dietitian
  • Baton Rouge, LA
National Provider Identifier
1396571915
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
5465 Essen LN Apt 2
Baton Rouge, LA 70809-3508
Phone
(908) 370-3505
NPI assigned
Sep 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

5465 Essen LN Apt 2
Baton Rouge, LA 70809-3508

Mailing address

382 Forest Hill Way
Mountainside, NJ 07092-1329
Phone (908) 370-3505

Other practice location 1

382 Forest Hill Way
Mountainside, NJ 07092-1329
Phone (908) 370-3505

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

Practice roles

OrganizationSpecialtyStatusNew patients
Move to Wellness Inc Dietitian, Registered Past Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
Bradley Management LLC Dietitian, Registered Past Accepting new patients

Organizations & group practices 3

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": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1396571915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 FOREST HILL WAY",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070921329",
            "telephone_number": "908-370-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5465 ESSEN LN APT 2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093508",
            "telephone_number": "908-370-3505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "382 Forest Hill Way",
            "address_purpose": "LOCATION",
            "city": "Mountainside",
            "state": "NJ",
            "postal_code": "070921329",
            "country_code": "US",
            "telephone_number": "908-370-3505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBECK",
        "first_name": "HEATHER",
        "middle_name": "KATHLEEN",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.