Active NPI
Marlene Renae Goodlett, RD LD
- Registered Dietitian
- Lexington, KY
National Provider Identifier
1750536371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2122
- Practice address
- 650 Newtown Pike
Lexington, KY 40508-1113 - Phone
- (859) 288-2395
- NPI assigned
- Nov 24, 2008
- 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 | 2122 | KY | Primary |
Addresses
Primary practice location
650 Newtown Pike
Lexington, KY 40508-1113
Mailing address
650 Newtown Pike
Lexington, KY 40508-1113
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2122 | KY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1750536371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 NEWTOWN PIKE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405081113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 NEWTOWN PIKE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405081113",
"telephone_number": "859-288-2395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODLETT",
"first_name": "MARLENE",
"middle_name": "RENAE",
"name_prefix": "Mrs.",
"credential": "RD LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-24",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "2122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.