Active NPI
Jessica Lawson Goldberg, RD
- Registered Dietitian
- Baltimore, MD
National Provider Identifier
1699405787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 2401 W Belvedere Ave
Baltimore, MD 21215-5216 - Phone
- (141) 024-1459
- NPI assigned
- Jun 13, 2022
- Last updated
- Jun 13, 2022
- 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 | NU | Primary |
Addresses
Primary practice location
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Mailing address
11550 Crossroads Cir Unit 363
Middle River, MD 21220-2969
Phone (410) 241-4596
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jlawsongoldberg@lifebridgehealth.org | Direct | Sinai Hospital Lifebridge Health |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- jessica.lawsongoldberg.p1@direct.bmsi.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba BMS@Yard56
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1164138152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1699405787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11550 CROSSROADS CIR UNIT 363",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202969",
"telephone_number": "410-241-4596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 W BELVEDERE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155216",
"telephone_number": "141-024-1459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON GOLDBERG",
"first_name": "JESSICA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-13",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jlawsongoldberg@lifebridgehealth.org",
"affiliation": "Y",
"endpointDescription": "Provider email",
"affiliationName": "Sinai Hospital Lifebridge Health",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2401 W Belvedere Ave",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212155216",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.