Active NPI
Corinne Elizabeth Goff, RD
- Registered Dietitian
- N Kingstown, RI
National Provider Identifier
1972831584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LDN0658
- Practice address
- 1130 Ten Rod Rd # D-302
N Kingstown, RI 02852-4161 - Phone
- (401) 286-3373
- NPI assigned
- Nov 20, 2009
- Last updated
- Jul 30, 2024
- 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 | LDN0658 | RI | Primary |
Addresses
Primary practice location
1130 Ten Rod Rd # D-302
N Kingstown, RI 02852-4161
Mailing address
53 Country CT
N Kingstown, RI 02852-2901
Phone (401) 286-3373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100308000962 | RI | Practitioner - Registered Dietitian Or Nutrition Professional | 2567507023 | Practice locations: North Kingstown, RI |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1130 Ten Rod Rd
Suite D302
North Kingstown, RI 02852-4161
Phone (401) 286-3373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDN0658 | RI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722297600000",
"number": "1972831584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 COUNTRY CT",
"city": "N KINGSTOWN",
"state": "RI",
"postal_code": "028522901",
"telephone_number": "401-286-3373",
"fax_number": "401-349-0815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 TEN ROD RD # D-302",
"city": "N KINGSTOWN",
"state": "RI",
"postal_code": "028524161",
"telephone_number": "401-286-3373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOFF",
"first_name": "CORINNE",
"middle_name": "ELIZABETH",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-20",
"last_updated": "2024-07-30",
"certification_date": "2024-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "RI",
"license": "LDN0658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in N Kingstown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.