MS. JUDITH A. GOULD (NPI# 1295784627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295784627 |
Entity Type | Individual |
Full Name | MS. JUDITH A. GOULD |
Credential | R.D. |
Practice Address |
David Grant Medical Center Travis Afb CA 94535-1800 |
Mailing Address |
422 Pico Way Sacramento CA 95819-2926 |
Practice Telephone | 7074237300 |
Mailing Telephone | 9167396435 |
Enumeration Date | 2006-05-10 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
718204 | CA | Dietary & Nutritional Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386992972 | Judith Alden Gould | Registered Nurse | 372 City Center Drive, Rohnert Park, CA 94928 | 2012-08-29 |
Street Address |
DAVID GRANT MEDICAL CENTER |
City | TRAVIS AFB |
State | CA |
Zip Code | 94535-1800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467942045 | Andrea Nicole Barajas | Student in an Organized Health Care Education/Training Program | David Grant Medical Center, Travis Afb, CA 94535 | 2018-05-18 |
1952831166 | Kara Heath Jesse | Physical Therapist | David Grant Medical Center, 101 Bodin Cir, Travis Afb, CA 94535 | 2017-06-20 |
1336683747 | David J Krasucki | Nurse Anesthetist, Certified Registered | David Grant Medical Center, 101 Bodin Cir, Travis Afb, CA 94535 | 2016-12-05 |
1588961163 | Jason Hoskins | Radiology | David Grant Medical Center, 101 Bodin Cir, Travis Afb, CA 94535-1809 | 2011-02-17 |
1467686543 | Mary Issitt | Military Health Care Provider | David Grant Medical Center, 101 Bodin Circle, Travis Afb, CA 94535-0001 | 2009-05-05 |
1427103399 | Adeleke Adonis Oyemade | Registered Nurse | David Grant Medical Center, 101 Bodin Cir, Travis Afb, CA 94535 | 2007-01-23 |
1619041316 | Suk Charles Whang | Internal Medicine | David Grant Medical Center, 101 Bodin Circle, Travis Afb, CA 94535-1800 | 2006-11-17 |
1699781153 | Bill Steh | Psychologist | David Grant Medical Center, 101 Bodin Circle, 4-east Unit, Travis Afb, CA 94535 | 2006-08-01 |
1063499267 | Graham Wilson Wallace | Family Medicine | David Grant Medical Center, 101 Bodin Circle, Travis Afb, CA 94535-1809 | 2005-12-29 |
1760465769 | Michael Louis Chyrek | Optometrist | David Grant Medical Center, 101 Bodin Cir, Travis Afb, CA 94535 | 2005-11-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508487711 | Sheila C Flood | Student in an Organized Health Care Education/Training Program | 101 Biden Circle, Fairfield, CA 94535 | 2020-04-28 |
1568081255 | Miguel Julian Moreno | Student in an Organized Health Care Education/Training Program | 690 Airmen Drive, Travis Afb, CA 94535 | 2020-04-13 |
1174096101 | Zlatoslava Karga | Nurse Practitioner | 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 | 2019-01-02 |
1437648292 | Luke C Vera | Dentist | David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 | 2018-05-08 |
1588163430 | Sanaz Ziad | Pharmacist | 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 | 2018-02-06 |
1194265686 | Geoffrey Johnston | Dentist | 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 | 2017-03-02 |
1336693407 | Hannah Isla Nordwall | Social Worker | 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 | 2016-08-06 |
1184177149 | Taylor Murrie-robinson | Social Worker | 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 | 2016-07-26 |
1952759607 | Eric Kincaid-sharp | General Practice | 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 | 2016-06-02 |
1023472040 | Genieve Marie Martinez-hernandez | Internal Medicine | 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 | 2016-04-06 |
Find all providers in zip 94535 |
Taxonomy Code | 133VN1005X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
Specialization | Nutrition, Renal |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
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1386279792 | Healthy Mission Dietitian, Inc. | Dietitian, Registered | 225 S Ivy Ave # 266, Monrovia, CA 91016-2835 | 2020-03-05 |
1861048456 | Kimberly Reiko Miyamoto | Dietitian, Registered | 24533 Cadiz Dr, Lomita, CA 90717-1156 | 2019-08-10 |
1114490497 | Maria Tointon | Dietitian, Registered | 236 6th Ave # A, Santa Cruz, CA 95062-4604 | 2019-01-09 |
1194260695 | Rory Pace | Dietitian, Registered | 300 Santana Row, Suite 300, San Jose, CA 95128-2423 | 2016-12-20 |
1689122533 | Shirlee Rosen | Dietitian, Registered | 4521 Sherman Oaks Ave Ste 201, Sherman Oaks, CA 91403-3807 | 2016-09-20 |
1336599836 | Shu-hui Dai | Dietitian, Registered | 20718 Golden Rain Rd, Riverside, CA 92508-3161 | 2016-06-15 |
1679922561 | Monica Wong | Dietitian, Registered | 2201 Junipero Serra Blvd, Daly City, CA 94014-1908 | 2016-06-10 |
1275982837 | Alice Thipphavong | Dietitian, Registered | 1290 Tully Rd Ste 60, San Jose, CA 95122-3069 | 2016-06-05 |
1417328121 | Vanessa Joana Rojas-bautista | Dietitian, Registered | 101 City Drive, Bldg. 51, Orange, CA 92868-3217 | 2015-10-08 |
1396131009 | Susan Lynn Mills | Dietitian, Registered | 5718 Ravenspur Dr Unit 106, Rancho Palos Verdes, CA 90275-3536 | 2015-04-09 |
Find all providers with the same taxonomy |
City | TRAVIS AFB |
Zip Code | 94535 |
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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.