Individual ProviderAndrea Frances GoergenDietitian, RegisteredDietary & Nutritional Service ProvidersPractice Address106 Irving St NW, Suite 301, Washington, DC 20010-2927(202) 877-5370PECOS EnrollmentBased on the most recent information from CMS, provider Andrea Frances Goergen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1265974703Provider TypeIndividualFull NameGoergen, Andrea FrancesTitleMs.CredentialMHS, RD, LDGenderFemaleSole ProprietorYesEnumeration Date11/15/2016Last Updated11/15/2016Contact InformationPractice LocationPractice Address106 Irving St NW, Suite 301, Washington, DC 20010-2927Phone(202) 877-5370FaxUnlisted FaxMailing LocationMailing Address106 Irving St NW, Suite 301, Washington, DC 20010-2927Phone(202) 877-5370FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode133V00000XPrimaryDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseDI100000875District of ColumbiaCode133V00000XDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseDX4067Maryland