Provider Demographics
NPI:1942668348
Name:GOODIN, BARBARA (MS RD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:GOODIN
Suffix:
Gender:F
Credentials:MS RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 800386
Mailing Address - Street 2:DIVISION OF GENETICS
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22908-0386
Mailing Address - Country:US
Mailing Address - Phone:434-924-2665
Mailing Address - Fax:434-924-1797
Practice Address - Street 1:1215 LEE ST
Practice Address - Street 2:DIVISION OF GENETICS
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-0386
Practice Address - Country:US
Practice Address - Phone:434-924-2665
Practice Address - Fax:434-924-1797
Is Sole Proprietor?:No
Enumeration Date:2016-02-01
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric