NPIMap

Organization Active NPI

Gosimple Nutrition LLC

  • Registered Dietitian
  • Bowie, MD
National Provider Identifier
1477067056
Registry record updated Nov 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DX4020 Issued in MD
Legal business name
GOSIMPLE NUTRITION LLC
Practice address
10111 Martin Luther King Jr Hwy Ste 118
Bowie, MD 20720-4226
Phone
(240) 241-0519
NPI assigned
Nov 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2017

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

Authorized official

Name
Aminta Bullard, RDNPI 1851819718
Title
Owner
Phone
(240) 241-0519

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DX4020 MD Primary

Addresses

Primary practice location

10111 Martin Luther King Jr Hwy Ste 118
Bowie, MD 20720-4226

Mailing address

11104 Cedar LN
Beltsville, MD 20705-2801

Other names 1

  • GoSimple Nutrition Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511049600000",
    "number": "1477067056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11104 CEDAR LN",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207052801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 MARTIN LUTHER KING JR HWY STE 118",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207204226",
            "telephone_number": "240-241-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSIMPLE NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-19",
        "last_updated": "2017-11-19",
        "status": "A",
        "authorized_official_last_name": "BULLARD",
        "authorized_official_first_name": "AMINTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-241-0519",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX4020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GoSimple Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2017; 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.