BERNADETTE GOODINE (NPI# 1124424478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124424478 |
| Entity Type | Individual |
| Full Name | BERNADETTE GOODINE |
| Credential | N.D. |
| Practice Address |
2331 Velp Ave Ste M Green Bay WI 54303-6592 |
| Practice Telephone | 9204342073 |
| Practice Fax Number | 9204342079 |
| Mailing Telephone | 9204342073 |
| Mailing Fax Number | 9204342079 |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
| Street Address |
2331 VELP AVE STE M |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54303-6592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
| 1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
| 1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
| 1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1710361001 | Matthew Lemay | Acupuncturist | 727 E Walnut, Suite B2, Green Bay, WI 54303 | 2015-07-16 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
| Find all providers in zip 54303 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679983183 | Bellin Memorial Hospital Inc | Nutritionist | 720 S Vanburen St, Suite 104, Green Bay, WI 54301-3538 | 2014-05-06 |
| 1316208044 | Stacy L Vandenput | Nutritionist | 1638 Deckner Ave, Apartment One, Green Bay, WI 54302-2640 | 2012-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069718 | Bridgett Lynn Wilder | Nutritionist | 2242 N 17th St, Milwaukee, WI 53205-1220 | 2020-07-01 |
| 1598305476 | Karen Marie Woyak | Nutritionist | 2940 Amundson St, Wisconsin Rapids, WI 54494-3241 | 2020-01-08 |
| 1558730960 | Nutritional Healing LLC | Nutritionist | 400 N Richmond St Ste F, Appleton, WI 54911-4602 | 2015-09-16 |
| 1457697096 | Coalition for Community Empowerment | Nutritionist | 4706 W Capitol Dr, Milwaukee, WI 53216-1535 | 2013-01-01 |
| 1326318585 | Nutritional Healing, LLC | Nutritionist | 400 N. Richmond St., Ste F, Appleton, WI 54911 | 2012-01-05 |
| 1154566834 | Gloria Jean Roohr-hyzer | Nutritionist | 2396 250th Ave, Cushing, WI 54006-3607 | 2008-12-09 |
| 1417177718 | Michelle Rae Gunn | Nutritionist | N3474 Adams Rd, Bruce, WI 54819 | 2007-04-27 |
| 1356372825 | Elizabeth Spencer | Nutritionist | 703 W Hamilton Ave, Eau Claire, WI 54701 | 2006-07-05 |
| 1164065876 | Natasha Schultz | Nutritionist | 615 W Moreland Blvd, Waukesha, WI 53188-2462 | 2019-10-25 |
| 1609243260 | Demetrius Robinson | Nutritionist | 11414 W Park Pl Ste 202, Milwaukee, WI 53224-3500 | 2015-08-28 |
| 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.