| Haley Nichole Goodfellow, RD, LDN | |
|
60 S State Route 157, Edwardsville, IL 62025-3846 | |
| (618) 655-8147 | |
| Not Available |
| Full Name | Haley Nichole Goodfellow |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 60 S State Route 157, Edwardsville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952929283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2020013164 (Missouri) | Secondary |
| 133V00000X | Dietitian, Registered | 164008029 (Illinois) | Primary |
| Provider Name | Nourish, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
| Mailing Address | Practice Location Address |
|---|---|
| Haley Nichole Goodfellow, RD, LDN 213 Longview Dr, Columbia, IL 62236-2079 Ph: (618) 531-6029 | Haley Nichole Goodfellow, RD, LDN 60 S State Route 157, Edwardsville, IL 62025-3846 Ph: (618) 655-8147 |
Mrs. Amy Rose Gilomen, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2 Club Centre Ct Ste 3, Edwardsville, IL 62025 Phone: 618-391-0605 | |
Sarah Mae Volling, MS, RD, LDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 60 S State Route 157, Edwardsville, IL 62025 Phone: 913-314-0145 | |
Miss Michelle Kathryn Preston, RD, LDN, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8 Sunset Hills Professional Ctr, Edwardsville, IL 62025 Phone: 618-659-8592 Fax: 618-659-8687 | |
Kelsey Michele True, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 663 E Vandalia St, Edwardsville, IL 62025 Phone: 618-531-6904 | |
Jingshu Guan, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2814 Cabin Creek Ct, Edwardsville, IL 62025 Phone: 314-898-7887 | |
Miss Jessica Christine Page, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1908 Meadow Ln, Edwardsville, IL 62025 Phone: 618-972-6418 | |
Eat Practical Llc Dietitian Medicare: Medicare Enrolled Practice Location: 7407 Conner Ln, Edwardsville, IL 62025 Phone: 913-314-0145 |