Traci Goodwin, RD

Registered Dietitian · Madison, MS

Individual Active NPI

NPI number 1669606687

Practice location

504 Wynridge Ct
Madison, MS 39110-8461
Phone
(601) 720-9915

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NPI record

NPI
1669606687
Entity type
Individual (Type 1)
Enumeration date
May 5, 2009
Last updated
September 10, 2025
Certified
September 10, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X 719520 —

Mailing address

1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone
(601) 362-4471
Fax
(601) 368-4483

Other practice locations (1)

  • 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 · (601) 362-4471 ext. 55447

About Traci Goodwin

Traci Goodwin, RD is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 504 Wynridge Ct, Madison, MS 39110-8461. The NPI number 1669606687 was assigned on May 5, 2009 and the record was last updated on September 10, 2025.

Traci Goodwin lists a license in the registry: #719520 for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Traci Goodwin, RD?

The NPI number is 1669606687.

What is the phone number of Traci Goodwin?

The phone number listed for the practice location is (601) 720-9915.

Where is Traci Goodwin located?

504 Wynridge Ct, Madison, MS 39110-8461.

What is the taxonomy code for Traci Goodwin?

The primary taxonomy code is 133V00000X – Registered Dietitian.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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