KRISTEN JOHNSON (NPI# 1114554060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114554060 |
| Entity Type | Individual |
| Full Name | KRISTEN JOHNSON |
| Credential | RD |
| Practice Address |
395 W Cougar Blvd Ste 203 Provo UT 84604-3328 |
| Mailing Address |
954 N Silver Wolf Rd Elk Ridge UT 84651-4582 |
| Practice Telephone | 8013577706 |
| Mailing Telephone | 8016169213 |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 5911399-4901 | UT | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1518409614 | Kristen Leigh Johnson | Speech-Language Pathologist | 1620 Harrison Ave, Centralia, WA 98531-4533 | 2016-11-07 |
| 1508217183 | Kristen Johnson | Nurse Practitioner | 801 Belsly Boulevard, Moorhead, MN 56560 | 2016-06-25 |
| 1811319296 | Kristen Johnson | Doula | 3454 New Fawn Ln, Milton, GA 30004-4438 | 2014-01-20 |
| 1487089660 | Kristen Mary Johnson | Occupational Therapist | 8608 Spruce Run Ct, Ellicott City, MD 21043-6944 | 2013-09-06 |
| 1356646392 | Kristen Johnson | Counselor | 3700 W. Kilgore Ave., Muncie, IN 47304-4810 | 2011-01-24 |
| 1407000185 | Kristen A Johnson | Behavioral Analyst | 10803 Glade Ct, New Market, MD 21774-6605 | 2008-11-08 |
| 1720134042 | Kristen Louise Johnson | Occupational Therapist | 14530 Sunfish Lake Dr, Ramsey, MN 55303-9118 | 2007-01-27 |
| 1770183295 | Kristen Nichole Johnson | Pharmacist | 1516 N 18th St, Ozark, AR 72949-3611 | 2020-10-26 |
| 1689292740 | Kristen Laprade Johnson | Counselor | 444 S 44th St, Omaha, NE 68131-3727 | 2020-07-06 |
| Street Address |
395 W COUGAR BLVD STE 203 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225297419 | Mindy Crockett | Dietitian, Registered | 395 W Bulldog Blvd, Provo, UT 84604-3311 | 2008-06-03 |
| 1609067347 | Anna B Snyder | Dietitian, Registered | 1675 North Freedom Blvd Suite 15, Provo, UT 84604 | 2007-08-07 |
| 1477188811 | Jodi Benson | Dietitian, Registered | 1034 N 500 W, Provo, UT 84604-3380 | 2020-03-05 |
| 1588217038 | Anna-marie Ayotte | Dietitian, Registered | 1034 N 500 W, Provo, UT 84604-3380 | 2019-07-23 |
| 1770040263 | Jill Austad | Dietitian, Registered | 1034 N 500 W, Provo, UT 84604-3380 | 2019-02-21 |
| 1255805123 | Jillian Elaine Taylor Porto | Dietitian, Registered | 1034 N 500 W, Provo, UT 84604-3337 | 2019-01-14 |
| 1497249122 | Linda Griffiths Saxton | Dietitian, Registered | 306 River Bend Ln, Provo, UT 84604-5625 | 2018-06-16 |
| 1851802490 | Megan M. Kennedy | Dietitian, Registered | 1055 N 500 W Bldg A, Provo, UT 84604-3305 | 2017-10-23 |
| 1134647977 | Daniel Burgess | Dietitian, Registered | 1034 N 500 W, Provo, UT 84604-3380 | 2017-08-31 |
| 1942664867 | Holly Ann Bishop Michaels | Dietitian, Registered | 1055 N 500 W, Attn. Credentialing, Provo, UT 84604-3305 | 2016-04-06 |
| Find all providers in PROVO | ||||
Please comment or provide details below to improve the information on KRISTEN JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.