Active NPI
Rachel Goodman
- Nutritionist
- Portland, OR
National Provider Identifier
1457019168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutritionist
- Practice address
- 3601 S River Pkwy
Portland, OR 97239-4553 - Phone
- (971) 271-2249
- NPI assigned
- Nov 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | Primary |
Addresses
Primary practice location
3601 S River Pkwy
Portland, OR 97239-4553
Mailing address
3601 S River Pkwy
Portland, OR 97239-4553
Phone (971) 271-2249
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1457019168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 S RIVER PKWY",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394553",
"telephone_number": "971-271-2249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 S RIVER PKWY",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394553",
"telephone_number": "971-271-2249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-30",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "7117 SW Sagert St Unit 102",
"city": "Tualatin",
"state": "OR",
"country_code": "US",
"postal_code": "970628247",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.