Paige Gottlich, RD, LD, CSPCC

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

Practice address

3533 S Alameda St
Corpus Christi, TX 78411-1721

Phone

(361) 694-5000

NPI assigned

Aug 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Paige Brandt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1477078376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 BARRACUDA PL",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 S ALAMEDA ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111721",
            "telephone_number": "361-694-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLICH",
        "first_name": "PAIGE",
        "credential": "RD, LD, CSPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "BRANDT",
            "credential": "RD, LD, CSPCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cheryl D Gordon, FNP-C
• Samuel Lance Gordon, D.C.
• Kevin Russell Gorman
• Daniel Michael Gorsage, M.D.
• Trudy Goski, LPC, LCDC
• Roberta Gough-Atkins, M.S.,L.P.C.
• John Robert Gouin, DPM
• Annaliese Caroline Goukler
• Max Leopold Gouverne, MD
• Garbine Goya, MD

• Pediatric Nutrition Registered Dietitian in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Pediatric Nutrition Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.