Go Eat Wise

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

GO EAT WISE

Practice address

17340 W 12 Mile Rd Ste 103
Southfield, MI 48076-6322

Phone

(248) 234-4212

Fax

(248) 856-4697

NPI assigned

Apr 24, 2019

Organization subpart

No

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

Authorized official

Name

Jennifer D Elkins, RD

Title

Registered Dietitian

Phone

(248) 519-3960

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1427612639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17340 W 12 MILE RD STE 103",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480766322",
            "telephone_number": "248-234-4212",
            "fax_number": "248-856-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17340 W 12 MILE RD STE 103",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480766322",
            "telephone_number": "248-234-4212",
            "fax_number": "248-856-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO EAT WISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "ELKINS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "248-519-3960",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmia Glover
• Julie Glover
• Jerry Glowniak, MD
• Dariusz Gluchowski, PHYSICAL THERAPIST
• Emery Gniewek
• Go Now Transportation LLC
• Betty Yu Go, MD
• God'S Chosen LLC
• Akira Monay Godfrey, LMT
• Charles G Godoshian, M.D.

• Health Service Clinic/Center in Southfield, MI
• Providers in Southfield, MI by specialty
• Health Service Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.