JENNIFER S GOETZ (NPI# 1760439061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760439061 |
| Entity Type | Individual |
| Full Name | JENNIFER S GOETZ |
| Other Name | JENNIFER BORGEN |
| Credential | LRD |
| Practice Address |
2400 32nd Ave S Fargo ND 58103 |
| Mailing Address |
Po Box 2168 Fargo ND 58107-2168 |
| Practice Telephone | 7012342245 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 685 | ND | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 272447000 | 05 | |
| ND | 51118 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336413178 | Jennifer J Goetz | Veterinarian | 10500 Little Briar Creek Ln, Raleigh, NC 27617-2012 | 2012-02-24 |
| 1790077998 | Jennifer M Goetz | Pharmacist | 1501 Scalp Ave, Johnstown, PA 15904-3308 | 2011-05-05 |
| 1730361213 | Jennifer L Goetz | Counselor | 1724 Lampman Dr, Billings, MT 59102-6494 | 2007-11-27 |
| 1558917609 | Jennifer Goetz | Physical Therapist | 68 Willow Rd, Menlo Park, CA 94025-3653 | 2019-08-14 |
| 1902248727 | Jennifer Goetz | Occupational Therapist | 310 Sunnyview Ln, Kalispell, MT 59901-3129 | 2013-07-22 |
| 1871931956 | Jennifer L Goetz | Psychiatry & Neurology | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2013-06-11 |
| 1669674354 | Jennifer Goetz | Pediatrics | 919 E 32nd St, Nicu, 3rd Floor, Austin, TX 78705-2703 | 2007-06-04 |
| 1265427025 | Jennifer E. Goetz | Registered Nurse | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2005-09-16 |
| Street Address |
2400 32ND AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982693875 | Chris L Cleveland | Pediatrics | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2005-10-14 |
| 1306456470 | Darcy Thompson | Registered Nurse | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2020-08-04 |
| 1457988636 | Lisa Aipperspach | Dietitian, Registered | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2020-03-26 |
| 1588298525 | Adriane Maag Carney | Acupuncturist | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2020-02-28 |
| 1255961090 | Bailey June Hanson | Physician Assistant | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2020-01-21 |
| 1013564624 | Erin Marie Wilmes | Nurse Practitioner | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2019-08-20 |
| 1346896016 | Ashley Jobe | Physical Therapist | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2019-08-17 |
| 1194371377 | Casey Murphy | Physical Therapist | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2019-08-14 |
| 1316507221 | Evan Lee Zacharias I | Physical Therapist | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2019-06-13 |
| 1801455449 | Danielle Swanson | Physician Assistant | 2400 32nd Ave S, Fargo, ND 58103-5800 | 2019-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| 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 |
|---|---|---|---|---|
| 1003446329 | Alexis Ann Allen | Dietitian, Registered | 1749 38th St S, Fargo, ND 58103-4442 | 2020-01-26 |
| 1487171245 | Presticor, Inc. | Dietitian, Registered | 2603 Kirsten Ln S Ste 104, Fargo, ND 58104-5204 | 2017-08-23 |
| 1558882092 | Stephanie E Scott | Dietitian, Registered | 2701 University Dr S, Fargo, ND 58103-6027 | 2017-07-06 |
| 1912234071 | Mary Monica Russell | Dietitian, Registered | 1702 East Rose Creek Parkway South, Fargo, ND 58104-6834 | 2009-11-11 |
| 1629221395 | Joan Pietron Carlisle | Dietitian, Registered | 2121 Elm Street North, Fargo Va Medical Center, Fargo, ND 58102 | 2008-10-28 |
| 1619133832 | Mary F Larson | Dietitian, Registered | 306 4th Street North, Fargo, ND 58102-4820 | 2008-08-07 |
| 1386829844 | Jackie R Griffiths | Dietitian, Registered | 4474 23rd Ave S Ste M, Fargo, ND 58104-8795 | 2008-01-03 |
| 1437103959 | Robin J Sickels | Dietitian, Registered | 737 Broadway, Fargo, ND 58122-0001 | 2006-05-20 |
| 1881295814 | Kelsey Kincaid | Dietitian, Registered | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2020-11-05 |
| 1639786742 | Sam Lucas Scardigli | Dietitian, Registered | 1600 University Dr N, Fargo, ND 58105-2502 | 2020-09-23 |
| Find all providers in FARGO | ||||
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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.