SAMANTHA JO JOHNSON (NPI# 1780293696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780293696 |
| Entity Type | Individual |
| Full Name | SAMANTHA JO JOHNSON |
| Other Name | SAMANTHA JO BIERHALS |
| Credential | RDN, CD |
| Practice Address |
2854 Greenbrier Rd Green Bay WI 54311-6528 |
| Mailing Address |
W2857 Cty Rd E Cecil WI 54111-9446 |
| Practice Telephone | 9202888000 |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 338229 | WI | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244101 | Samantha Johnson | Technician | 46 Brigadere Cir, Martinsburg, WV 25404-7006 | 2020-10-30 |
| 1235738816 | Samantha Nicole Johnson | Home Health Aide | 1785 State Route 28 Lot 421, Goshen, OH 45122-9339 | 2020-10-23 |
| 1124548201 | Samantha K Johnson | Chiropractor | 187 East Main, Ellsworth, WI 54011 | 2017-06-21 |
| 1649704990 | Samantha Ashley Johnson | Clinic/Center | 4750 Bryant Irvin Road N, Fort Worth, TX 76107 | 2017-04-13 |
| 1831647437 | Samantha Johnson | Nurse Practitioner | 450 E Harvard Ave, Denver, CO 80210 | 2016-09-13 |
| 1154778413 | Samantha Jo Johnson | Obstetrics & Gynecology | 232 Aldridge Ave, Summersville, WV 26651-1802 | 2016-05-17 |
| 1922466580 | Samantha Johnson | Dentist | 3719 Old Alabama Rd Ste 400-b, Johns Creek, GA 30022-8692 | 2016-02-10 |
| 1184052383 | Samantha Johnson | Speech-Language Pathologist | 250 Jaguar Trl, Ridgeland, SC 29936-5497 | 2013-10-24 |
| 1174879639 | Samantha Ann Johnson | Specialist | 422 100th St, 1st Floor, Brooklyn, NY 11209-8309 | 2012-08-01 |
| 1033476734 | Samantha Brooke Johnson | Occupational Therapy Assistant | 928 Old Smithville Road, Mcminnville, TENNESSEE 37110 | 2012-04-18 |
| Street Address |
2854 GREENBRIER RD |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-6528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| 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 |
|---|---|---|---|---|
| 1497273163 | Maria L Boeck | Dietitian, Registered | 704 S Webster Ave Ste 501, Green Bay, WI 54301-3528 | 2017-09-01 |
| 1073903837 | Bonnie Marie Cleven | Dietitian, Registered | 1207 Grignon St, Green Bay, WI 54301-3020 | 2015-02-02 |
| 1922287200 | Nancy Jean Schumitsch | Dietitian, Registered | 704 South Webster Ave, Suite 500, Green Bay, WI 54301 | 2007-11-02 |
| 1851588115 | Melanie A Muhlenbeck | Dietitian, Registered | 704 S Webster, Suite 500, Green Bay, WI 54301 | 2007-10-01 |
| 1487209623 | Deanna R Nelson | Dietitian, Registered | 2851 University Ave, Green Bay, WI 54311-5855 | 2019-08-05 |
| 1578020558 | Cheryl Cladas | Dietitian, Registered | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2019-02-26 |
| 1417461203 | Regina Charmain Young | Dietitian, Registered | 704 S Webster Ave Ste 501, Green Bay, WI 54301-3528 | 2017-12-01 |
| 1366893901 | Meghann Elyse Reetz-norton | Dietitian, Registered | 2851 University Ave, Green Bay, WI 54311-5855 | 2016-06-24 |
| 1437520830 | Ashley Marie Grinsteiner | Dietitian, Registered | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2015-10-12 |
| 1831569979 | Leah Karaliunas-kempen | Dietitian, Registered | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2015-10-01 |
| Find all providers in GREEN BAY | ||||
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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.