Susan Goodine, | |
3724 Jefferson St Ste 104, Austin, TX 78731-6204 | |
(512) 693-7045 | |
Not Available |
Full Name | Susan Goodine |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 3724 Jefferson St Ste 104, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1871712547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133VN1004X | Dietitian, Registered - Nutrition, Pediatric | 2528 (Massachusetts) | Secondary |
133V00000X | Dietitian, Registered | 2528 (Massachusetts) | Primary |
Provider Name | Nourish, Inc. |
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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 |
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Susan Goodine, 16 John Ave, Bristol, CT 06010-4450 Ph: () - | Susan Goodine, 3724 Jefferson St Ste 104, Austin, TX 78731-6204 Ph: (512) 693-7045 |
Adriana Krueger, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12209 Alcanza Dr, Austin, TX 78739 Phone: 512-550-4849 | |
Kimberley Bandelier, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3724 Jefferson St, Suite 104, Austin, TX 78731 Phone: 512-693-7045 | |
Gabrielle Palmeri, MDN, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 3724 Jefferson St Ste 104, Austin, TX 78731 Phone: 412-692-7699 | |
Chelsea Davidson, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 2208 E 14th St, Austin, TX 78702 Phone: 410-236-1181 | |
Claire Hafner, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 919 E 32nd St, Austin, TX 78705 Phone: 512-544-4077 | |
Lauren Mcgill, MS, RDN, CSSD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4613 Herzog St, Austin, TX 78723 Phone: 480-600-2021 | |
Erin Marie Rigney, RD, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 5555 N Lamar Blvd, Ste D-125, Austin, TX 78751 Phone: 512-757-0174 |