Mark William Goodwin, MFN, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD7271 Issued in OH

Practice address

2555 S Dixie Dr Ste 112
Dayton, OH 45409-1532

Phone

(937) 220-6611

NPI assigned

Jan 8, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifecare Alliance

  • Voluntary or Charitable Agency
  • Columbus, OH
  • NPI 1023280955

  Dietitian, Registered

  NPD
• Lifecare Alliance

  • Home Health Agency
  • Columbus, OH
  • NPI 1669429544
  NPD

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1629888136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 CHERRY BLOSSOM DR",
            "city": "WEST CARROLLTON",
            "state": "OH",
            "postal_code": "454491517",
            "telephone_number": "937-829-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 S DIXIE DR STE 112",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091532",
            "telephone_number": "937-220-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "MARK",
        "middle_name": "WILLIAM",
        "credential": "MFN, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "OH",
            "license": "LD7271",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD7271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goodwill Easter Seals Miami Valley
• Goodwill Easter Seals of Miami Valley
• Goodwin Chiropractic LLC
• Ashley Marie Goodwin, CDCA
• Lashawnita Denise Goodwin
• Michael Clifford Goodwin, QMHS, CDCA
• Rebecca Lynn Goodwin
• Robert Grant Goodwin, DC
• Joshua Gootzeit, PHD
• Girija Gopalswamy, MD

• Registered Dietitian in Dayton, OH
• Providers in Dayton, OH by specialty
• Registered Dietitian in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.