Tara Gould, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI1419 Issued in ME

Practice address

6 State St Ste 607
Bangor, ME 04401-5140

Phone

(207) 460-0550

NPI assigned

Apr 21, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Rd 207, LLC

  • Registered Dietitian
  • Bangor, ME
  • NPI 1043830904

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1407476351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WING RD",
            "city": "HERMON",
            "state": "ME",
            "postal_code": "044010418",
            "telephone_number": "207-460-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 STATE ST STE 607",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015140",
            "telephone_number": "207-460-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD",
        "first_name": "TARA",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI1419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maranda Gorecki, LCSW
• Teresa Gormely, LCSW
• Alisha Marie Goss, LADC, CCS
• Priscilla M Goss, LCSW, LADC, CCS
• Stephanie Lin Goss, CADC, MHRTC
• Brenda Anne Gowesky
• Chelsey Marie Gracia, D.O.
• Harland Thomas Grant III, OTRL
• Mark Grant, MD
• Michelle Grant, CRNA

• Registered Dietitian in Bangor, ME
• Providers in Bangor, ME by specialty
• Registered Dietitian in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.