Goodness Nutrition Center, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

GOODNESS NUTRITION CENTER, LLC

Doing business as

Goodness Nutrition Center, LLC

Practice address

761 Rosa Dr
Lawrenceville, GA 30044-6613

Phone

(678) 680-3261

Fax

(833) 441-1804

NPI assigned

Mar 19, 2019

Last updated

Aug 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gloria Amparo Ochoa-AndiaNPI 1770924730

Title

President

Phone

(678) 680-3261

Specialties & licenses 3

Addresses

Other names 1

• Goodness Nutrition Center, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gloria Amparo Ochoa-Andia, RD, CDE, IBCLC

  • Registered Dietitian
  • Lawrenceville, GA
  • NPI 1770924730

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628294400000",
    "number": "1407315245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 ROSA DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300446613",
            "telephone_number": "678-680-3261",
            "fax_number": "770-852-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 ROSA DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300446613",
            "telephone_number": "678-680-3261",
            "fax_number": "833-441-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODNESS NUTRITION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2021-08-07",
        "certification_date": "2021-08-07",
        "status": "A",
        "authorized_official_last_name": "OCHOA-ANDIA",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "AMPARO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-680-3261"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodness Nutrition Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Goodness Nutrition Center, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Caz Goodman, D.C.
• Madelyn Christine Goodman
• Harrison B Goodno, MD
• Caitlyn Goodroe
• Ravi Gorav, M.D
• Steven M Gorbatkin, M.D.
• Fray Gordon

• Registered Dietitian in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2021; 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.

Verify at the official NPI Registry.