Reagan Rose Goodman
NPI 1629941463ActiveIndividual· Dietitian, Registered· San Angelo, TX
Dietitian, Registered in San Angelo, Texas, licensed in TX, with an NPI issued in September 2025. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1629941463 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 26, 2025 |
| Last updated in NPPES | Feb 4, 2026 |
| Certified by provider | Feb 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | DT91912 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (TX) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Other Dietitian, Registered providers in San Angelo
- 1245787811
- 1760651434
- 1316312341
- 1144450636
- 1750756888
- 1699944579
- 1003941410
- 1942972534
- 1144239898
- 1760143218
- 1235051566
- 1942487418