KACI GOODGAME (NPI# 1821442963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821442963 |
| Entity Type | Individual |
| Full Name | KACI GOODGAME |
| Credential | LDN |
| Practice Address |
353 New Shackle Island Rd Suite 122 B Hendersonville TN 37075-2379 |
| Mailing Address |
131 Saundersville Rd Suite 160 Hendersonville TN 37075-8903 |
| Practice Telephone | 6158242014 |
| Practice Fax Number | 8555404722 |
| Mailing Telephone | 6158243737 |
| Mailing Fax Number | 8555404722 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133N00000X | Nutritionist | LDN0000003000 | TN | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | LDN0000003000 | TN | Dietary & Nutritional Service Providers |
| Street Address |
353 NEW SHACKLE ISLAND RD SUITE 122 B |
| City | HENDERSONVILLE |
| State | TN |
| Zip Code | 37075-2379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536468 | Muhammad Asad | Internal Medicine | 353 New Shackle Island Rd, Suite 300 C, Hendersonville, TN 37075-2379 | 2005-05-23 |
| 1104442037 | Dustin Cross | Nurse Practitioner | 353 New Shackle Island Rd, Hendersonville, TN 37075-2379 | 2020-06-16 |
| 1225563307 | Clayton Thomas Anderson | Nurse Practitioner | 353 New Shackle Island Rd, Suite #300c, Hendersonville, TN 37075-2379 | 2017-04-26 |
| 1578003109 | Laura Rhea Smith | Physical Therapist | 353 New Shackle Island Rd, 142c, Hendersonville, TN 37075-2379 | 2017-03-01 |
| 1609319136 | Kara Earthman | Nurse Practitioner | 353 New Shackle Island Rd, Suite 221b, Hendersonville, TN 37075-2379 | 2016-12-01 |
| 1194272930 | Emily C Fitzpatrick | Nurse Practitioner | 353 New Shackle Island Rd, Suite 122b, Hendersonville, TN 37075-2379 | 2016-09-09 |
| 1982158176 | Lake Spine Consultants LLC | Orthopaedic Surgery | 353 New Shackle Island Rd, Suite 141c, Hendersonville, TN 37075-2379 | 2016-08-05 |
| 1336692904 | Enjoli Gupton | Nurse Practitioner | 353 New Shackle Island Rd, 300c, Hendersonville, TN 37075-2379 | 2016-07-29 |
| 1659730117 | Kelly Victoria Tyus | Audiologist | 353 New Shackle Island Rd, Suite 202-a, Hendersonville, TN 37075-2379 | 2016-02-12 |
| 1083002570 | Andrew Porter | Physician Assistant | 353 New Shackle Island Rd, Suite 300c, Hendersonville, TN 37075-2379 | 2015-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667425 | Results-ast Jv, LLC | Physical Therapist | 326 New Shackle Island Rd, Suite 300, Hendersonville, TN 37075 | 2020-10-21 |
| 1871126524 | Jessica Elise Williams | Nurse Practitioner | 100 Indian Lake Blvd, Hendersonville, TN 37075 | 2020-02-20 |
| 1003379108 | Infusion Express of Tennessee, PC | Clinic/Center | 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 | 2019-04-08 |
| 1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
| 1992203368 | Cassie Berman | Occupational Therapist | 209 Shivel Drive, Hendersonville, TN 37075 | 2018-01-31 |
| 1407379373 | Hendersonville Smiles Dentistry, PC | Dentist | 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 | 2017-07-21 |
| 1215483466 | Ryan Escue | Registered Nurse | 4221 Harding Pike, Nashville, TN 37075 | 2016-08-28 |
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| 1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
| Find all providers in zip 37075 | ||||
| Taxonomy Code | 133N00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation. |
| Notes: Source: (1) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457958746 | Lisa Ellen Fuller | Nutritionist | 3802 Sevierville Pike # 2, Knoxville, TN 37920-4551 | 2020-10-08 |
| 1194336628 | Angela Jane Johnson | Nutritionist | 24 Revere Cir Apt 13, Jackson, TN 38305-3468 | 2020-08-10 |
| 1215401112 | Jonathan Lang Smith | Nutritionist | 4112 Shirley Dr, Memphis, TN 38109-4600 | 2019-01-15 |
| 1205302700 | Elizabeth Field Guillemette | Nutritionist | 408 N State of Franklin Rd Ste 31b, Johnson City, TN 37604-6088 | 2018-10-23 |
| 1326513573 | Joanna Lea Goan | Nutritionist | 7752 Christin Lee Cir, Knoxville, TN 37931-4544 | 2018-10-03 |
| 1861933418 | Monique Parris Taylor | Nutritionist | 3364 Lincoya Creek Dr, Nashville, TN 37214-2784 | 2017-03-15 |
| 1093269102 | Callie Wiens | Nutritionist | 1106 Mississippi Ave, Chattanooga, TN 37405-3626 | 2016-08-05 |
| 1447606827 | Jennifer Lee Brindley | Nutritionist | 162 4th Ave N Ste 104, Nashville, TN 37219-2400 | 2016-05-04 |
| 1487013744 | Jada Wright | Nutritionist | 1219 Ecklin Dr, Cordova, TN 38016-0414 | 2016-02-15 |
| 1124497904 | Patricia V Dilorenzo | Nutritionist | 137 Williamsburg West Ct, Nashville, TN 37221-2609 | 2015-09-22 |
| Find all providers with the same taxonomy | ||||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
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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.