Active NPI
Nutrition for Performance
- Registered Dietitian
- Boston, MA
National Provider Identifier
1922768993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Legal business name
- NUTRITION FOR PERFORMANCE
- Practice address
- 31 Saint James Ave
Boston, MA 02116-4101 - Phone
- (360) 441-0349
- NPI assigned
- Dec 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Goebel, RD, LDN
- Title
- Owner
- Phone
- (360) 441-0349
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
31 Saint James Ave
Boston, MA 02116-4101
Mailing address
56 Prince St Apt 1
Boston, MA 02113-1826
Phone (360) 441-0349
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083220586 | Medicaid | MA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dgoebel@nimrd.com | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639699200000",
"number": "1922768993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 PRINCE ST APT 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021131826",
"telephone_number": "360-441-0349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 SAINT JAMES AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021164101",
"telephone_number": "360-441-0349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUTRITION FOR PERFORMANCE",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-17",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A",
"authorized_official_last_name": "GOEBEL",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-441-0349",
"authorized_official_credential": "RD, LDN"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1083220586",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dgoebel@nimrd.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "31 Saint James Ave",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "021164101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.