Individual provider Active NPI

Rachel Goodman, M.S., R.D.

  • Registered Dietitian
  • Tarzana, CA
National Provider Identifier
1487082442
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1088452
Practice address
18372 Clark St
Suite 228
Tarzana, CA 91356-3508
Phone
(818) 881-9192
NPI assigned
Oct 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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 1088452 Primary

Addresses

Primary practice location

18372 Clark St
Suite 228
Tarzana, CA 91356-3508

Mailing address

18372 Clark St
Suite 228
Tarzana, CA 91356-3508
Phone (818) 881-9192

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)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383004800000",
    "number": "1487082442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18372 CLARK ST",
            "address_2": "SUITE 228",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563508",
            "telephone_number": "818-881-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18372 CLARK ST",
            "address_2": "SUITE 228",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563508",
            "telephone_number": "818-881-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "M.S., R.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "1088452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.