Active NPI
William Lloyd Goodness III, RD
- Oncology Nutrition Registered Dietitian
- Rochester, NY
National Provider Identifier
1669064549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Nutrition Registered Dietitian
- License
- 86083138
- Practice address
- 1425 Portland Ave
Rochester, NY 14621-3011 - Phone
- (315) 359-8608
- NPI assigned
- Feb 11, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Oncology Nutrition Registered Dietitian | 133VN1301X | 86083138 | Primary |
Addresses
Primary practice location
1425 Portland Ave
Rochester, NY 14621-3011
Mailing address
1 Oxford St Apt 5
Rochester, NY 14607-1586
Phone (585) 733-5045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86083138 | Other | COMMISSION ON DIETETIC REGISTRATION (CDR) |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1669064549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 OXFORD ST APT 5",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146071586",
"telephone_number": "585-733-5045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 PORTLAND AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213011",
"telephone_number": "315-359-8608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODNESS",
"first_name": "WILLIAM",
"middle_name": "LLOYD",
"name_suffix": "III",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-11",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1301X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Oncology",
"state": null,
"license": "86083138",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION (CDR)",
"identifier": "86083138",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.