Active NPI
Doreen K. Langerud Gooding, RD, LD, CDE
- Registered Dietitian
- Des Moines, IA
National Provider Identifier
1497169528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 714243
- Practice address
- 411 Laurel St
Suite 3100
Des Moines, IA 50314-3017 - Phone
- (515) 643-5203
- Fax
- (515) 643-5204
- NPI assigned
- Jun 17, 2014
- Last updated
- Aug 22, 2014
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 714243 | IA | Primary |
Addresses
Primary practice location
411 Laurel St
Suite 3100
Des Moines, IA 50314-3017
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-5203
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 714243 | IA | MD | Registered Dietitian |
| 00890 | IA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408665600000",
"number": "1497169528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-643-5203",
"fax_number": "515-643-5204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 LAUREL ST",
"address_2": "SUITE 3100",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143017",
"telephone_number": "515-643-5203",
"fax_number": "515-643-5204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODING",
"first_name": "DOREEN",
"middle_name": "K. LANGERUD",
"credential": "RD, LD, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-17",
"last_updated": "2014-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "714243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.