KJERSTI A JOHNSON (NPI# 1205203445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205203445 |
| Entity Type | Individual |
| Full Name | KJERSTI A JOHNSON |
| Credential | RDN |
| Practice Address |
32030 23rd Ave S Federal Way WA 98003-6031 |
| Mailing Address |
790 Remington Blvd Bolingbrook IL 60440-4909 |
| Practice Telephone | 2539464852 |
| Practice Fax Number | 2539464862 |
| Mailing Telephone | 6302962223 |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DI 60591061 | WA | Dietary & Nutritional Service Providers |
| Street Address |
32030 23RD AVE S |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-6031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871586198 | Sada K Hertzig | Physical Therapist | 32030 23rd Ave S, Federal Way, WA 98003-6031 | 2005-08-23 |
| 1467082420 | Nicolette Schneider | Dietitian, Registered | 32030 23rd Ave S, Federal Way, WA 98003-6031 | 2020-01-18 |
| 1720628811 | Stefanie Elizabeth Jemison | Physical Therapist | 32030 23rd Ave S, Federal Way, WA 98003-6031 | 2020-01-07 |
| 1194376194 | Eliza Zyfuentes | Physical Therapist | 32030 23rd Ave S, Federal Way, WA 98003-6031 | 2019-09-23 |
| 1881240307 | Neal Shah | Physical Therapist | 32030 23rd Ave S, Federal Way, WA 98003-6031 | 2019-08-12 |
| 1659939668 | Luke Barhorst | Physical Therapist | 32030 23rd Ave S, Federal Way, WA 98003-6031 | 2019-06-04 |
| 1184180499 | Jack Evan Bryant | Physical Therapist | 32030 23rd Ave S, Federal Way, WA 98003-6031 | 2019-02-12 |
| 1588135131 | Mackenzie Foster | Physical Therapist | 32030 23rd Ave S, Federal Way, WA 98003-6031 | 2018-12-07 |
| 1588172308 | Brendan Charles Fann | Physical Therapist | 32030 23rd Ave S, Federal Way, WA 98003-6031 | 2018-01-15 |
| 1689101529 | Ethan Qualey | Physical Therapist | 32030 23rd Ave S, Federal Way, WA 98003-6031 | 2017-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| 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 |
|---|---|---|---|---|
| 1356534366 | Sheryl Lynn Davis | Dietitian, Registered | 2107 Sw 318th Pl Apt B, Federal Way, WA 98023-2224 | 2007-08-22 |
| 1659441509 | Linda Diane Burton | Dietitian, Registered | 33431- 13th Place So., Federal Way Health Center, Federal Way, WA 98003-6357 | 2006-11-08 |
| 1598397929 | Grace Ling | Dietitian, Registered | 33501 1st Way S, Federal Way, WA 98003-6208 | 2020-02-04 |
| 1467082420 | Nicolette Schneider | Dietitian, Registered | 32030 23rd Ave S, Federal Way, WA 98003-6031 | 2020-01-18 |
| 1346722436 | Alejandra Razo | Dietitian, Registered | 31405 18th Ave S, Federal Way, WA 98003-5433 | 2018-09-05 |
| 1578078440 | Lauren Michelle Mozer | Dietitian, Registered | 34920 Enchanted Pkwy S, Federal Way, WA 98003-8325 | 2017-12-13 |
| 1548787781 | Kaylynn Fink | Dietitian, Registered | 31405 18th Ave S, Federal Way, WA 98003 | 2017-08-28 |
| 1023558814 | Deanna Eisele | Dietitian, Registered | 34509 9th Ave S, Ste 310, Federal Way, WA 98003-6700 | 2017-02-28 |
| 1689034126 | Cheryl Hansen | Dietitian, Registered | 34617 11th Pl S, Suite 300, Federal Way, WA 98003-8706 | 2016-02-25 |
| 1336519354 | Kathryn Hall | Dietitian, Registered | 32030 23rd Ave S, Federal Way, WA 98003 | 2015-10-02 |
| Find all providers in FEDERAL WAY | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
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| 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.