MEDICARE: MADELINE RAE GOTTFRIED MDN, RD, LD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	LD.10162	OH

General Provider Information

NPI Number	:	1003775974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELINE RAE GOTTFRIED MDN, RD, LD

Provider Business Mailing Address
First Line	:	26218 N WOODLAND RD
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-1745
Country	:	US
Telephone Number	:	216-577-1552
Fax Number	:

Provider Business Practice Location Address
First Line	:	10138 NANFORD RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-1653
Country	:	US
Telephone Number	:	216-577-1552
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	05/19/2026

Similar Medicare Providers

1588333736 — RACHEL DEAN THOMAS RN
Practice Location Address:

1653 CRESTWOOD RD
CLEVELAND, OH
44124-3332

Practice Phone: 724-944-3425
Practice Fax:

1992698500 — DRAMAIL LETT
Practice Location Address:

1653 E 75TH ST
CLEVELAND, OH
44103-4111

Practice Phone: 216-820-5183
Practice Fax:

1770413882 — TAJIA MCCAULLEY LPN
Practice Location Address:

2155 W 103RD ST
CLEVELAND, OH
44102-3526

Practice Phone: 216-624-7570
Practice Fax:

1124958830 — PAUL LUNGU
Practice Location Address:

3569 RIDGE RD
CLEVELAND, OH
44102-5443

Practice Phone: 216-281-0872
Practice Fax:

1215867932 — UNITY HAVEN LIVING, LLC
Practice Location Address:

1305 WEST BLVD
CLEVELAND, OH
44102-1710

Practice Phone: 209-371-7335
Practice Fax:

1144735358 — JANAY BANKSTON
Practice Location Address:

3569 RIDGE RD
CLEVELAND, OH
44102-5443

Practice Phone: 216-281-0872
Practice Fax: 216-961-5429

Directions to “ MADELINE RAE GOTTFRIED MDN, RD, LD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.