Individual provider Active NPI

Sabrina Danielle Goshen, MS,RD

  • Registered Dietitian
  • Carmel, IN
National Provider Identifier
1427686377
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
300 E Main St Ste E
Carmel, IN 46032-1782
Phone
(317) 210-3722
Fax
(317) 296-7211
NPI assigned
Mar 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

300 E Main St Ste E
Carmel, IN 46032-1782

Mailing address

300 E Main St Ste E
Carmel, IN 46032-1782
Phone (317) 210-3722

Other practice location 1

9525 N Meridian St
Indianapolis, IN 46260-1310
Phone (317) 210-3244

Other identifiers 1

IdentifierTypeStateIssuer
86080373OtherCOMMISSION ON DIETETIC REGISTRATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210114000296 IN Practitioner - Registered Dietitian Or Nutrition Professional 4981017852 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Impact Athletics Incorporated Dietitian, Registered CurrentSince Jun 9, 2024 Accepting new patients
Aligned Health Practice LLC Dietitian, Registered CurrentSince Jan 11, 2021 Accepting new patients
Alignyou LLC Dietitian, Registered Current Accepting new patients

Locations

300 E Main St
Ste E
Carmel, IN 46032
Phone (317) 210-3722

300 E Main St
Ste C
Carmel, IN 46032
Phone (317) 210-3722

8710 Bash St
Unit 501553
Indianapolis, IN 46250

9525 N Meridian St
Indianapolis, IN 46260
Phone (317) 210-3244

250 University Blvd
Indianapolis, IN 46202
Phone (317) 274-8580

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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1427686377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST STE E",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321782",
            "telephone_number": "317-210-3722",
            "fax_number": "317-296-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST STE E",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460321782",
            "telephone_number": "317-210-3722",
            "fax_number": "317-296-7211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9525 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601310",
            "country_code": "US",
            "telephone_number": "317-210-3244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSHEN",
        "first_name": "SABRINA",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "MS,RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86080373",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.