Susan Lynn Goolsby, M.S., RD, CSSD, LD

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

471 Issued in AR

Practice address

#1 Children'S Way
Arkansas Children'S Hospital, Slot 603
Little Rock, AR 72202

Phone

(501) 364-1261

Fax

(501) 364-6819

NPI assigned

Nov 20, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1588992010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#1 CHILDREN'S WAY",
            "address_2": "SLOT 603 ARKANSAS CHILDREN'S HOSPITAL",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72202",
            "telephone_number": "501-364-1261",
            "fax_number": "501-364-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#1 CHILDREN'S WAY",
            "address_2": "ARKANSAS CHILDREN'S HOSPITAL, SLOT 603",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72202",
            "telephone_number": "501-364-1261",
            "fax_number": "501-364-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOLSBY",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S., RD, CSSD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "AR",
            "license": "471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia B. Goodwin, M.D.
• Lindsey Nicole Goodwin, OT
• Tiffany Vo Goodwin
• Whitney Goodwin, MD
• Eric Goold, MD
• Varesh Gorabi
• Harmeen Goraya, M.D.
• Angela Denise Gordon, PHARM.D., BCPS
• Eric Houston Gordon, MD
• Jaclyn Gordon, DO

• Pediatric Nutrition Registered Dietitian in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Pediatric Nutrition Registered Dietitian in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.