JACQUELINE GODINEZ LOPEZ (NPI# 1114545449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114545449 |
| Entity Type | Individual |
| Full Name | JACQUELINE GODINEZ LOPEZ |
| Credential | RD |
| Practice Address |
140 N Litchfield Rd Suite 106 Goodyear AZ 85338-1226 |
| Mailing Address |
140 N Litchfield Rd Ste 106 Goodyear AZ 85338-1226 |
| Practice Telephone | 6022437277 |
| Mailing Telephone | 6022437277 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 86068218 | AZ | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | DRIVERS LICENSE | 08314495 | 01 |
| Street Address |
140 N LITCHFIELD RD SUITE 106 |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85338-1226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235174731 | Krista Deann Pellicore | Family Medicine | 140 N Litchfield Rd, Suite 200, Goodyear, AZ 85338-1277 | 2006-06-18 |
| 1477098432 | Phoenix Spine Surgeons, Ltd | Orthopaedic Surgery | 140 N Litchfield Rd, Suite 110, Goodyear, AZ 85338 | 2016-12-30 |
| 1891175188 | Phoenix Spine Goodyear Asc, LLC | Clinic/Center | 140 N Litchfield Rd, Suite 110, Goodyear, AZ 85338 | 2015-06-02 |
| 1629302229 | Debra Iglesias | Nurse Practitioner | 140 N Litchfield Rd, Suite 200, Goodyear, AZ 85338-1277 | 2009-09-29 |
| 1982859674 | Planned Parenthood Arizona | Clinic/Center | 140 N Litchfield Rd, Ste 100, Goodyear, AZ 85338-1277 | 2008-11-21 |
| 1871667014 | Arizona Center for Neurosurgery, Ltd | Physical Medicine & Rehabilitation | 140 N Litchfield Rd, Suite 110, Goodyear, AZ 85338-1277 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295226884 | Caroline Chang | Dentist | 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 | 2018-05-20 |
| 1609376714 | Rosanna Alvarez | Licensed Practical Nurse | 17432 W Elaine Dr, Goodyear, AZ 85338 | 2018-02-15 |
| 1023534419 | Jennifer Elizabeth Lawrence Dixon | Social Worker | 319 N Lichfield Rd, Suite 105, Goodyear, AZ 85338 | 2017-08-17 |
| 1346774916 | Vanessa Castillo | Specialist/Technologist | 18035 W. Yuma Rd, Goodyear, AZ 85338 | 2017-04-20 |
| 1386008076 | Hope Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 15985 W.williams Street, Goodyear, AZ 85338 | 2016-04-08 |
| 1952760241 | Jeremy John Abdul-haqq | Dentist | 15661 W Roosevelt St Ste 102, Goodyear, AZ 85338 | 2016-02-16 |
| 1417206897 | Kelly Renee Filo | Occupational Therapy Assistant | 10189 S. Hacienda Dr., Goodyear, AZ 85338 | 2012-08-31 |
| 1194015545 | Nancy Ann Amore | Licensed Practical Nurse | 15578 W Yuma Road, Goodyear, AZ 85338 | 2011-04-19 |
| 1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| Find all providers in zip 85338 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835028 | Marisa Gutierrez | Dietitian, Registered | 15873 W Jefferson St, Goodyear, AZ 85338-6895 | 2020-06-15 |
| 1043857857 | Jennifer Manley | Dietitian, Registered | 18351 W Verdin Rd, Goodyear, AZ 85338-5078 | 2019-12-01 |
| 1083938740 | Shalini Unsworth | Dietitian, Registered | 14939 S 180th Ave, Goodyear, AZ 85338-5658 | 2010-03-23 |
| 1952578684 | Katina Lashun Langley | Dietitian, Registered | 14097 W Windward Ave, Goodyear, AZ 85395-2050 | 2008-05-12 |
| 1043821465 | Emily Masek | Dietitian, Registered | 13471 W Cornerstone Blvd, Goodyear, AZ 85395-2713 | 2020-08-10 |
| 1366920035 | Chelsey May Mccauley | Dietitian, Registered | 14200 W Celebrate Life Way, Goodyear, AZ 85338 | 2018-08-03 |
| 1649756396 | Sara Schumacher | Dietitian, Registered | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2018-07-16 |
| 1497231369 | Samantha Peterson | Dietitian, Registered | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2018-07-13 |
| 1659552511 | Karen D Gafford | Dietitian, Registered | 14200 W Celebrate Life Way, Goodyear, AZ 85338 | 2007-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395497 | Emily Verebelyi | Dietitian, Registered | 7525 E Placita De La Poesia, Tucson, AZ 85750-7200 | 2020-11-01 |
| 1790385938 | Kylee Makenna Forden | Dietitian, Registered | 3800 E Lincoln Dr Unit 38, Phoenix, AZ 85018-1020 | 2020-10-27 |
| 1346849023 | Emmie Mae Olivas | Dietitian, Registered | 1126 N Melody Cir, Chandler, AZ 85225-1695 | 2020-10-22 |
| 1699373985 | Ke Luo | Dietitian, Registered | 8771 N Ash Grove Ct, Tucson, AZ 85742-1411 | 2020-10-09 |
| 1740897859 | Gabrielle Dunlavey | Dietitian, Registered | 7950 E Starlight Way Unit 144, Scottsdale, AZ 85250-6133 | 2020-09-24 |
| 1558977538 | Michelle Hathaway | Dietitian, Registered | 10752 N 89th Pl Ste 114b, Scottsdale, AZ 85260-6730 | 2020-09-16 |
| 1770194615 | Lauren Ashley Duda | Dietitian, Registered | 5917 E Kings Ave, Scottsdale, AZ 85254-1318 | 2020-08-13 |
| 1407467343 | Emily Claire Pelham | Dietitian, Registered | 16601 N 12th St Apt 2051, Phoenix, AZ 85022-7720 | 2020-08-13 |
| 1225648827 | Kelly Michelle Clarken | Dietitian, Registered | 3220 W Ina Rd Apt 4202, Tucson, AZ 85741-2164 | 2020-08-07 |
| 1528678232 | Jodi Roark Charvoz | Dietitian, Registered | 5202 E 4th St, Tucson, AZ 85711-2302 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.