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Deactivated NPI 1669673026 Deactivated / Inactive NPI Female Practitioner

Anda Lou Gouge , MED

Dietitian, Registered • Covington, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Anda Gouge has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 31, 2007
NPI Deactivation Date April 20, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Anda Gouge, MED was a registered Dietitian, Registered practicing in Covington, KY. Throughout an active medical career spanning 11 years, Anda Gouge provided care at the practice location at 502 FARRELL DR until profile deactivation on 2018-04-20.

Practice Location & Contact Primary Location

Practice Address

502 Farrell Dr

Covington, KY 410113717

Telephone 8595783200
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Covington, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.9 Yrs
State Avg: 19.3 Yrs
Regional Practice Density
17 Specialists

Practicing in Covington, KY (813 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License KY 0255

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dixie Zimmerman , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013527837

Advanced Practice Registered Nurse

Dr. Brian Jones , MD

Psychiatry & Neurology - Psychiatry

NPI 1033174222

Doctor of Medicine (M.D.)

NPI 1033328588
Jodi Schmidt , LCSW

Social Worker - Clinical

NPI 1033356183

Licensed Clinical Social Worker

Emma Brooks , LPAT

Art Therapist

NPI 1043067507
NPI 1043256522

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 20, 2018

Record deactivated on April 20, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 502 FARRELL DR, COVINGTON, KY 410113717 (Tel: 8595783200)

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Updated Business Mailing Address July 08, 2007

Registered at 502 FARRELL DR, COVINGTON, KY 410113717 (Tel: 8595783200)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ANDA GOUGE, M.ED

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dietitian, Registered (License #0255 in KY)

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Initial NPI Registration & Enumeration May 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669673026
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2007
Last Update: July 08, 2007
Deactivation Date: April 20, 2018

Mailing Address

502 Farrell Dr

Covington, KY 410113717

Phone: 8595783200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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