Charlotte A Gosrich, RD, CDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

006330 Issued in NY

Practice address

206 Cornelia St
Suite 103
Plattsburgh, NY 12901-2779

Phone

(518) 562-7326

Fax

(518) 562-7346

NPI assigned

Feb 10, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Champlain Valley Physicians Hospital Medical Center

  • Internal Medicine Physician
  • Plattsburgh, NY
  • NPI 1124189782

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1770722084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2868",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129010259",
            "telephone_number": "518-562-7900",
            "fax_number": "518-562-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CORNELIA ST",
            "address_2": "SUITE 103",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012779",
            "telephone_number": "518-562-7326",
            "fax_number": "518-562-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSRICH",
        "first_name": "CHARLOTTE",
        "middle_name": "A",
        "credential": "RD, CDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-10",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "006330",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "006330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Lynn Goodroe, RN
• Meagan Goodwin
• Eileen Mary Goralczyk, OTR/L
• Alicia Sara Jones Gorman, LMHC
• Eric Benjamin Gorman, MD
• Komlantse Medakpe Gossou, LBA
• Kelly Gowett, RD
• Rachelle A Grad, MD
• Leo A Grafstein, M.D.
• Michael John Grasic, MD

• Registered Dietitian in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.