BECKY ANN JOHNSON (NPI# 1508426156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508426156 |
| Entity Type | Individual |
| Full Name | BECKY ANN JOHNSON |
| Credential | LD |
| Practice Address |
480 Wartahoo Ln Canyonville OR 97417-9683 |
| Mailing Address |
2371 Ne Stephens St Ste 200 Roseburg OR 97470-1399 |
| Practice Telephone | 5418391345 |
| Practice Fax Number | 8556701791 |
| Mailing Telephone | 5416728533 |
| Mailing Fax Number | 8556701788 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 10200106 | OR | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922120385 | Becky A Johnson | Chiropractor | 3702 Mcintosh Dr Nw, Rochester, MN 55901-5936 | 2007-04-05 |
| 1891146999 | Becky L Johnson | Nurse Practitioner | 3509 E 29th St, Des Moines, IA 50317-4253 | 2016-06-29 |
| 1184056731 | Becky Louise Johnson | Social Worker | 860 E 4500 S, Suite 302, Salt Lake City, UT 84107-3002 | 2013-08-06 |
| 1134133309 | Becky S Johnson | Dentist | 600 Professional Dr, Northfield, MN 55057-2755 | 2006-07-27 |
| 1982697587 | Becky Lee Johnson | Counselor | 401 E 8th St, Suite 302, Sioux Falls, SD 57103-7011 | 2005-08-30 |
| Street Address |
480 WARTAHOO LN |
| City | CANYONVILLE |
| State | OR |
| Zip Code | 97417-9683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417937673 | Carolyn Elizabeth Simmons | Family Medicine | 480 Wartahoo Ln, Canyonville, OR 97417-9683 | 2006-01-21 |
| 1134567993 | Cow Creek Band of Umpqua Tribe of Indians | Clinic/Center | 480 Wartahoo Ln, Canyonville, OR 97417-9683 | 2013-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871611350 | Forest Glen | Assisted Living Facility | 200 Sw Frontage, Canyonville, OR 97417 | 2007-03-26 |
| 1205971439 | Ronald E Wilmot | Counselor | 152 Bettys Way St, 481, Canyonville, OR 97417 | 2007-02-21 |
| 1841333135 | Canyonville Chiropractic Inc | Chiropractor | 134 Se 3rd Street, Canyonville, OR 97417 | 2007-02-15 |
| 1407475577 | Robert Bakkegard | Pharmacist | 314 S Main Street, Canyonville, OR 97417 | 2020-04-09 |
| 1316322597 | Carrie Lovemark | Acupuncturist | 214 S Main St, Canyonville, OR 97417 | 2015-07-29 |
| 1255521225 | Falk Family Medicine, LLC | Family Medicine | 115 Sw Pine Street, Canyonville, OR 97417 | 2007-07-26 |
| 1689891269 | David Allen Stevens | Pharmacist | 314 S Main St, Canyonville, OR 97417 | 2007-04-18 |
| 1508987645 | James Brian Siegel | Chiropractor | 134 Se 3rd Street, Canyonville, OR 97417 | 2007-04-03 |
| 1144377433 | Gregory Alan Falk | Family Medicine | 115 Sw Pine, Canyonville, OR 97417-0198 | 2007-01-05 |
| 1295882512 | Bonita Acosta | Nurse Practitioner | 115 Sw Pine Street, Canyonville, OR 97417-0198 | 2007-01-05 |
| Find all providers in zip 97417 | ||||
| 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 |
|---|---|---|---|---|
| 1952902751 | Elise Michelle Edward | Dietitian, Registered | 5098 Sw Technology Loop Apt 205, Corvallis, OR 97333-1591 | 2020-11-06 |
| 1386245256 | Aloura Linfesty | Dietitian, Registered | 12944 Sw Sara Dr, Gaston, OR 97119-8580 | 2020-11-05 |
| 1699375394 | Ashlyn Hiserote | Dietitian, Registered | 7063 Se Horntail Ln, Hillsboro, OR 97123-2244 | 2020-10-30 |
| 1235739277 | Total Body Knowledge | Dietitian, Registered | 2314 Hempstead St Apt 3, Medford, OR 97501-0259 | 2020-10-29 |
| 1700484805 | Christine Charlotte Madzik | Dietitian, Registered | 655 E 43rd Ave, Eugene, OR 97405-3928 | 2020-10-12 |
| 1578160784 | Kristen Bowman | Dietitian, Registered | 749 Rabbit Run St, Stayton, OR 97383-1697 | 2020-10-01 |
| 1609483064 | Alayna Louise Hutchinson | Dietitian, Registered | 5258 Ne Cleveland Ave, Portland, OR 97211-2614 | 2020-09-29 |
| 1396350229 | Chelsea Elizabeth Horvath | Dietitian, Registered | 2831 Se Palmquist Rd Apt 153, Gresham, OR 97080-5276 | 2020-09-08 |
| 1720692007 | Gabrielle Anastasia Humlie | Dietitian, Registered | 109 W 8th St, Newberg, OR 97132 | 2020-09-03 |
| 1275147670 | Karina Ann Inouye | Dietitian, Registered | 13804 Sw Anna Ct, Tigard, OR 97223-2114 | 2020-09-02 |
| Find all providers with the same taxonomy | ||||
| City | CANYONVILLE |
| Zip Code | 97417 |
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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.