MRS. VICTORIA GOODWIN (NPI# 1356721369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356721369 |
| Entity Type | Individual |
| Full Name | MRS. VICTORIA GOODWIN |
| Other Name | VICTORIA JOHNSON |
| Credential | M.A., R.D., LDN |
| Practice Address |
12054 Glenfield Rd Philadelphia PA 19154-2815 |
| Practice Telephone | 2152555452 |
| Mailing Telephone | 2152555452 |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2016-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 1053925 | PA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760729909 | Victoria Sue Goodwin | Nurse Practitioner | 12221 N Mopac Expy, Austin, TX 78758 | 2013-01-08 |
| Street Address |
12054 GLENFIELD RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19154-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624547 | Philadelphia Mills Dental Center | Dentist | 1318 Franklin Mills Cir #807, Philadelphia, PA 19154 | 2019-11-27 |
| 1952944472 | Lilian Trinh | Occupational Therapist | 2701 Southhampton Rd, Philadelphia, PA 19154 | 2019-10-28 |
| 1861964009 | Margaret Folkes | Occupational Therapist | 2900 Southhampton Road, Philadelphia, PA 19154 | 2018-12-28 |
| 1093231227 | Jeffrey Coulter | Counselor | 11732 Denman Road, Philadelphia, PA 19154 | 2017-08-18 |
| 1518358860 | Davida Godett | Community Health Worker | 12575 Chilton Rd, Phila, PA 19154 | 2015-02-09 |
| 1780962647 | Advanced Urgent Care of Franklin Market LLC | Family Medicine | 189 Franklin Mills Blvd, Philadelphia, PA 19154 | 2011-07-26 |
| 1639329675 | Hashaam Shahid | Technician/Technologist | 1706 Franklin Mills Circle, Eye Wise, Philadelphia, PA 19154 | 2008-09-26 |
| 1902077902 | Kathleen O'toole Rayca | Speech-Language Pathologist | 10913 Kipling Lane, Philadelphia, PA 19154 | 2008-03-18 |
| 1144303603 | Patricia Lillian Green | Counselor | 10360 Drummond Road, Philadelphia Center Human Development, Philadelphia, PA 19154 | 2006-10-20 |
| 1760589113 | Sam's Club Optical | Technician/Technologist | 1000 Franklin Mills Circle, Philadelphia, PA 19154 | 2006-09-20 |
| Find all providers in zip 19154 | ||||
| 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 |
|---|---|---|---|---|
| 1932716685 | Nicole Behner | Dietitian, Registered | 1824 Stanwood St, Philadelphia, PA 19152-2619 | 2020-09-28 |
| 1235743048 | Lauren Davidheiser | Dietitian, Registered | 2212 Almond St, Philadelphia, PA 19125-3605 | 2020-08-31 |
| 1730799222 | Hannah Pfohl | Dietitian, Registered | 1136 N American St Unit 114, Philadelphia, PA 19123-1677 | 2020-08-09 |
| 1851901771 | Laura Michelle Cresta | Dietitian, Registered | 1030 N 2nd St Unit 303, Philadelphia, PA 19123-1595 | 2020-08-05 |
| 1386253318 | Porrazza Nutrition LLC | Dietitian, Registered | 2417 Welsh Rd Ste 21118, Philadelphia, PA 19114-2213 | 2020-07-27 |
| 1326665464 | Michelle Giacometti | Dietitian, Registered | 442 Naomi St, Philadelphia, PA 19128-3618 | 2020-07-05 |
| 1649897026 | Jennifer Andia Warshaw | Dietitian, Registered | 408 Regatta Dr, Philadelphia, PA 19146-5247 | 2020-07-01 |
| 1437774890 | Kylie Anne Mckenzie | Dietitian, Registered | 800 Admirals Way Unit 1841, Philadelphia, PA 19146-5241 | 2020-06-11 |
| 1063049914 | Kaitlyn Marie Willwerth | Dietitian, Registered | 350 S 15th St, Philadelphia, PA 19102-4919 | 2020-03-23 |
| 1134751522 | Anabelle Harari Clebaner | Dietitian, Registered | 9211 Ambassador Pl Fl 2, Philadelphia, PA 19115-4610 | 2020-02-04 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19154 |
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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.