- Practice location
- 3724 Jefferson St Ste 104, Austin, TX 78731-6204
- Phone
- 512-693-7045
- Fax
- —
- Last updated
- September 24, 2024
Susan Goodine is a Dietitian, Registered based in Austin, TX. Susan Goodine practices in Austin, TX. The NPI Number for Susan Goodine is 1871712547 and holds a License No. 2528 (MA). The current practice location address for Susan Goodine is 3724 Jefferson St Ste 104, Austin, TX 78731-6204 and can be reached out via phone at 512-693-7045.
Provider Profile Details
- NPI Number
- 1871712547
- Provider Name
- Susan Goodine
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3724 Jefferson St Ste 104, Austin, TX 78731-6204
- Phone Number
- 512-693-7045
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 24, 2007
- Last Update Date
- September 24, 2024
- Certification Date
- September 24, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3724 Jefferson St Ste 104
Austin, TX 78731-6204 - City
- Austin
- State
- Texas
- Zip
- 78731-6204
- Phone Number
- 512-693-7045
Provider Business Mailing Address Details
- Address
- 16 John Ave
Bristol, CT 06010-4450 - City
- Bristol
- State
- CT
- Zip
- 06010-4450
License Information
- License Number (1)
- 2528
- License State (1)
- MA
- Taxonomy (1)
- Dietitian, Registered, Nutrition, Pediatric · 133VN1004X
- License Number (2)
- 2528
- License State (2)
- MA
- Taxonomy (2)
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Austin, TX
View all Dietitian, Registered providers in Austin →- Abigail M Killian, MS, RDNDietitian, Registered · NPI 1104780618
- Alyssa Adrignola, RDNDietitian, Registered · NPI 1942138383
- Angela F Debartolome, RDNDietitian, Registered · NPI 1477363356
- Ava N Gamba, RDNDietitian, Registered · NPI 1225956204
- Brittany Q SchultzDietitian, Registered · NPI 1740122951
- Brooke Butters, RDN, LDNDietitian, Registered · NPI 1528938636
Frequently Asked Questions
What is the NPI number of Susan Goodine?
The NPI number of Susan Goodine is 1871712547. It was assigned on April 24, 2007 and is currently active in the NPPES registry.
What is the specialty of Susan Goodine?
Susan Goodine is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 2528.
Where does Susan Goodine practice?
The practice location is 3724 Jefferson St Ste 104, Austin, TX 78731-6204. The office can be reached at 512-693-7045 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871712547 directly on the NPPES registry website.