Individual provider Active NPI

Desiree Y Goode-Green, MS, CNS, LDN

  • Nutritionist
  • Towson, MD
National Provider Identifier
1700619954
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
DX6809 Issued in MD
Practice address
849 Fairmount Ave Ste 200-T47
Towson, MD 21286-2624
Phone
(443) 360-5161
NPI assigned
Aug 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X 164.011505 IL
Nutritionist 133N00000X 164.011505 IL
Nutritionist 133N00000X NU200000269 DC
Nutrition Education Nutritionist 133NN1002X NU200000269 DC
Nutrition Education Nutritionist 133NN1002X DX6809 MD
Nutrition Education Nutritionist 133NN1002X DN-0011272 DE
Nutritionist 133N00000X DN-0011272 DE
Nutritionist 133N00000X DN009060 PA
Nutritionist 133N00000X DX6809 MD Primary
Nutrition Education Nutritionist 133NN1002X DN009060 PA

Addresses

Primary practice location

849 Fairmount Ave Ste 200-T47
Towson, MD 21286-2624

Mailing address

849 Fairmount Ave Ste 200-T47
Towson, MD 21286-2624
Phone (443) 360-5161

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
Credentials
Certified Nurse Specialist, Master of Science

State licenses

LicenseStateTypeSpecialty
DX6809MDMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Marjorie Nolan Cohn LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1700619954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 FAIRMOUNT AVE STE 200-T47",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862624",
            "telephone_number": "443-360-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 FAIRMOUNT AVE STE 200-T47",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862624",
            "telephone_number": "443-360-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODE-GREEN",
        "first_name": "DESIREE",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "credential": "MS, CNS, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "IL",
            "license": "164.011505",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "IL",
            "license": "164.011505",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "DC",
            "license": "NU200000269",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "DC",
            "license": "NU200000269",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "MD",
            "license": "DX6809",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "DE",
            "license": "DN-0011272",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "DE",
            "license": "DN-0011272",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PA",
            "license": "DN009060",
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX6809",
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "PA",
            "license": "DN009060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.