Active NPI
Erin Elisabeth Goodrich, RDN, CDE
- Registered Dietitian
- Brockport, NY
National Provider Identifier
1720599533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 300 West Ave
Brockport, NY 14420-1118 - Phone
- (585) 637-3905
- Fax
- (585) 637-4990
- NPI assigned
- Oct 19, 2017
- 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 | NY | Primary |
Addresses
Primary practice location
300 West Ave
Brockport, NY 14420-1118
Mailing address
300 West Ave
Brockport, NY 14420-1118
Phone (585) 637-3905
Other practice location 1
301 West Ave
Albion, NY 14411-1522
Phone (585) 589-5613
Other names 1
- Erin Elisabeth Wilbert
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009380 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1720599533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 WEST AVE",
"city": "BROCKPORT",
"state": "NY",
"postal_code": "144201118",
"telephone_number": "585-637-3905",
"fax_number": "585-637-4990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 WEST AVE",
"city": "BROCKPORT",
"state": "NY",
"postal_code": "144201118",
"telephone_number": "585-637-3905",
"fax_number": "585-637-4990"
}
],
"practiceLocations": [
{
"address_1": "301 West Ave",
"address_purpose": "LOCATION",
"city": "Albion",
"state": "NY",
"postal_code": "144111522",
"country_code": "US",
"telephone_number": "585-589-5613",
"fax_number": "585-637-2375",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODRICH",
"first_name": "ERIN",
"middle_name": "ELISABETH",
"credential": "RDN, CDE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "WILBERT",
"middle_name": "ELISABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.