NPI 1912928649 · live from the CMS NPI Registry
Carla Marie Goetsch, RD, LN
Dietitian, Registered in Sioux Falls, SD. National Provider Identifier 1912928649, active.
NPI record
| NPI | 1912928649 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2501 W 22nd St, Va Medical Center, Sioux Falls, SD 57105 |
| Practice phone | 605-336-3230 |
| Mailing address | 202 N Main Ave, Hartford, SD 57033 |
| Enumerated | July 21, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 0013 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.