CRYSTAL J JOHNSON


Address: 11608 N Kathy Dr, Spokane, WA 99218-2725
Phone: 5098692330

CRYSTAL J JOHNSON (NPI# 1306839956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306839956
Entity Type Individual
Full Name CRYSTAL J JOHNSON
Credential MS, RD, CDE, CD, LD
Practice Address 11608 N Kathy Dr
Spokane
WA 99218-2725
Practice Telephone 5098692330
Mailing Telephone 5098692330
Enumeration Date 2005-08-30
Last Update Date 2011-02-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered DI00001258 WA Dietary & Nutritional Service Providers
N 133VN1006X Dietitian, Registered
Specialization: Nutrition, Metabolic
DX3074 MD Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 8299679 05

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Office Location

Street Address 11608 N KATHY DR
City SPOKANE
State WA
Zip Code 99218-2725

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1902295363 Annabelle Morgan Midwife 11725 N Lincoln Ct, Spokane, WA 99218 2015-01-22
1578967543 Deana Marie Ray Massage Therapist 1231 N Division, Ste 105, Spokane, WA 99218 2014-10-20
1770909889 Krista Dye Occupational Therapist 9827 N Nevada, Spokane, WA 99218 2014-03-13
1265855845 Breanna Zeis Massage Therapist 624 W. Hastings, Suite 16, Spokane, WA 99218 2014-02-02
1730516642 Christie Nygaard Massage Therapist 101 E. Hastings Rd, Spokane, WA 99218 2013-10-09
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1104457282 Christine Marie Lowman Dietitian, Registered 910 W 5th Ave Ste 650, Spokane, WA 99204-2967 2020-01-28
1851939136 Gloria Jean Treis Dietitian, Registered 4815 N Assembly St # Ms 120, Spokane, WA 99205-6197 2019-12-17
1639717226 Rachel Alexandria Traylor Dietitian, Registered 1403 W 3rd Ave, Spokane, WA 99201-7023 2019-12-15
1992346514 Amy Yeoman Dietitian, Registered 711 N Helena St Ste C, Spokane, WA 99202-2826 2019-10-04
1790254969 Riley Allen Mccorkle Dietitian, Registered 101 W 8th Ave Ste 1100, Spokane, WA 99204-2307 2018-11-17
1942791850 Margaret Eleacia Walser Dietitian, Registered 728 S Monroe St Apt 3, Spokane, WA 99204-3019 2018-05-25
1891283560 Mikaela Carrillo Dietitian, Registered 2020 E 29th Ave Ste 210, Spokane, WA 99203-3950 2018-04-27
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Competitor

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City SPOKANE
Zip Code 99218

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Dataset Information

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.

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