MRS. JENNICA JOHNSON (NPI# 1851857684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851857684 |
| Entity Type | Individual |
| Full Name | MRS. JENNICA JOHNSON |
| Credential | RDN, LDN |
| Practice Address |
2659 Abutment Rd Dalton GA 30721-4887 |
| Mailing Address |
17 Lodgestone Dr Ringgold GA 30736-2169 |
| Practice Telephone | 7065326707 |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2019-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 133V00000X | Dietitian, Registered | LD004162 | GA | Dietary & Nutritional Service Providers |
| Street Address |
2659 ABUTMENT RD |
| City | DALTON |
| State | GA |
| Zip Code | 30721-4887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548587694 | Bryan Davis Beasley | Rehabilitation Practitioner | 2659 Abutment Rd, Dalton, GA 30721-4887 | 2010-04-29 |
| 1336761410 | Christina T Howell | Social Worker | 2659 Abutment Rd, Dalton, GA 30721-4887 | 2020-05-12 |
| 1588128656 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 2659 Abutment Rd, Dalton, GA 30721-4887 | 2019-01-23 |
| 1073099248 | Rocco Sarli Jr. | Physical Therapist | 2659 Abutment Rd, Dalton, GA 30721-4887 | 2018-07-11 |
| 1740601855 | Andrew Bethea | Rehabilitation Practitioner | 2659 Abutment Rd, Dalton, GA 30721-4887 | 2013-12-17 |
| 1639509227 | Shaw Family Health Center | Preferred Provider Organization | 2659 Abutment Rd, Dalton, GA 30721-4887 | 2013-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417322942 | Alison Gobel | Case Manager/Care Coordinator | 2611 Clevland Hwy, Dalton, GA 30721 | 2015-12-09 |
| 1528433026 | Crystal Sparks | Case Manager/Care Coordinator | 2611 Cleveland Highway, Dalton, GA 30721 | 2015-12-09 |
| 1043524838 | Quality Care Concepts, Inc. | Durable Medical Equipment & Medical Supplies | 121 Tilton Road, Dalton, GA 30721 | 2010-08-04 |
| 1538490081 | Jennifer Sawyer | Counselor | 720 S. Glenwood Ave, Ste 112, Dalton, GA 30721 | 2010-01-22 |
| 1831210673 | Linda E. Minter | Case Manager/Care Coordinator | 932 Williams Rd. Nw, Dalton, GA 30721 | 2007-04-02 |
| 1265595318 | M Edwin Caylor Dds PC | Dentist | 2880 Cleveland Hwy, Dalton, GA 30721 | 2006-12-19 |
| 1295823003 | Candler Road Dental, PC | Dentist | 2107 E. Walnut Ave., Dalton, GA 30721 | 2006-10-10 |
| 1508872466 | Family Walk-in Clinic | Family Medicine | 1100 E Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-31 |
| 1225056823 | James L Coone | Family Medicine | 1100 E. Walnut Avenue, Suite 14 & 15, Dalton, GA 30721 | 2006-07-18 |
| 1770517591 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 1205 N Glenwood Road, Dalton, GA 30721 | 2006-07-10 |
| Find all providers in zip 30721 | ||||
| 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 |
|---|---|---|---|---|
| 1558814640 | Elayna Roberts | Dietitian, Registered | 1109 Burleyson Rd, Suite 103, Dalton, GA 30720-3094 | 2016-07-26 |
| 1962688499 | Leslie Jo Roberts | Dietitian, Registered | 1109 Burleyson Rd, Suite 203, Dalton, GA 30720-3094 | 2008-01-15 |
| 1730393067 | Susan Herrlich Shacklett | Dietitian, Registered | 808 Professional Blvd, Dalton, GA 30720-2536 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305486 | Susanne Mackinnon | Dietitian, Registered | 2678 Hummingbird Dr Nw, Duluth, GA 30096-3998 | 2020-10-26 |
| 1104425107 | Gabriella Schloss | Dietitian, Registered | 2323 Piedmont Rd Ne Apt 2212, Atlanta, GA 30324-3421 | 2020-10-21 |
| 1033717830 | Ariathni Pinacas Powell | Dietitian, Registered | 5761 Hancock Dr, Social Circle, GA 30025-4705 | 2020-10-14 |
| 1467050716 | Louise Brown | Dietitian, Registered | 4075 Cherry Grove Rd, Ball Ground, GA 30107-3295 | 2020-10-09 |
| 1154928513 | Alicia Adams Polk | Dietitian, Registered | 360 Southgate Dr, Locust Grove, GA 30248-4235 | 2020-10-07 |
| 1033716774 | Shannon Busby Bagga | Dietitian, Registered | 1806 Dekalb Ave Ne, Atlanta, GA 30307 | 2020-10-06 |
| 1881291532 | Noelle Yaeger Oleary | Dietitian, Registered | 2591 Birchwood Dr Ne, Atlanta, GA 30305-3819 | 2020-10-06 |
| 1447857149 | Christine Marie Rives | Dietitian, Registered | 4 Skidaway Village Walk, Savannah, GA 31411-2914 | 2020-10-06 |
| 1356948293 | Brittany Mitchell Moment | Dietitian, Registered | 2913 Allie Rd, Greenville, GA 30222-2337 | 2020-10-05 |
| 1003413162 | Deanna Dae Crismon | Dietitian, Registered | 511 Ragsdale Ter, Woodstock, GA 30188-4463 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. JENNICA 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.