Gosimple Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DX4020 Issued in MD

Legal business name

GOSIMPLE NUTRITION LLC

Doing business as

GoSimple Nutrition

Practice address

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

Phone

(240) 241-0519

NPI assigned

Nov 19, 2017

Last updated

Nov 19, 2017By the provider in NPPES

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other names 1

• GoSimple Nutrition Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aminta Bullard, RD

  • Registered Dietitian
  • Bowie, MD
  • NPI 1851819718

  Dietitian, Registered

  NPD (past) Authorized official

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"
        }
    ]
}

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• Registered Dietitian in Bowie, MD
• Providers in Bowie, MD by specialty
• Registered Dietitian in Maryland

• 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.