MISS JORDAN ANNE JOHNSON


Address: 11703 E Sprague Ave, Ste C-3, Spokane Valley, WA 99206-6128
Phone: 5099216560

MISS JORDAN ANNE JOHNSON (NPI# 1972855062) 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) 1972855062
Entity Type Individual
Full Name MISS JORDAN ANNE JOHNSON
Credential MS, RD, CD
Practice Address 11703 E Sprague Ave
Ste C-3
Spokane Valley
WA 99206-6128
Practice Telephone 5099216560
Practice Fax Number 5099216551
Mailing Telephone 5099216560
Mailing Fax Number 5099216551
Enumeration Date 2012-10-12
Last Update Date 2012-10-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered DI60309102 WA Dietary & Nutritional Service Providers

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1871018366 Jordan Isaiah Johnson Licensed Practical Nurse 4503 Edmond Dr, South Euclid, OH 44121-3907 2017-08-07
1740735620 Jordan Johnson Physical Therapist 137 E 3rd Ave Apt 14, Salt Lake City, UT 84103-5016 2016-08-19
1396114351 Jordan Johnson Behavioral Analyst 146 S Thomas St Ste E, Tupelo, MS 38801-5328 2015-09-21
1881072205 Jordan Johnson Technician, Other 222 6th Ave, Manistee, MI 49660-1318 2015-05-18
1528497286 Jordan R Johnson Marriage & Family Therapist 121 S Alfred St, Suite 9, Alexandria, VA 22314-3049 2013-11-04
1366888174 Jordan Lloyd Johnson Dentist 2232 Bardstown Rd Ste A, Louisville, KY 40205-1986 2013-05-20
1669085981 Jordan Johnson Physician Assistant 990 Nw Circle Blvd Ste 102, Corvallis, OR 97330-1967 2020-08-26
1932723715 Jordan Tyler Johnson Student in an Organized Health Care Education/Training Program 1959 Ne Pacific St, Seattle, WA 98195-0001 2020-06-08

Office Location

Street Address 11703 E SPRAGUE AVE
STE C-3
City SPOKANE VALLEY
State WA
Zip Code 99206-6128

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528230356 Beth Frances Davis Dietitian, Registered 11703 E Sprague Ave, Bldg C-3, Spokane Valley, WA 99206-6128 2008-04-01
1588101984 Preferred Homecare Infusion, LLC Pharmacy 11703 E Sprague Ave, Ste. C-3, Spokane Valley, WA 99206 2017-01-23
1366996167 Sophia Bosse Dietitian, Registered 11703 E Sprague Ave, Spokane Valley, WA 99206-6128 2016-08-09
1174781967 Kelli Frederick Dietitian, Registered 11703 E Sprague Ave, Bldg C-3, Spokane Valley, WA 99206-6128 2008-05-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851913495 Ea Healing Arts LLC Acupuncturist 210 N University Rd, Ste 200, Spokane Valley, WA 99206 2020-05-16
1922659630 Creative Harmony Counseling LLC Counselor 721 N Pines Road, Spokane, WA 99206 2019-09-24
1477027092 Hunter Badgley Counselor 721 N Pines Rd Ste 2, Spokane Valley, WA 99206 2019-01-16
1851880934 Ryan Bushman Dentist 919 N Pines Rd, Spokane Valley, WA 99206 2018-05-04
1902307531 Lois Jensen Counselor 3507 S. Spotted Rd., Spokane, WA 99206 2018-02-28
1295258804 Melissa Ann Reamer Speech-Language Pathologist 2510 N. Pines Rd., Ste. 3, Spokane Valley, WA 99206 2017-07-25
1730619149 Amanda Kathryn Fuchs Counselor 200 N Mullan Rd Ste 219, Spokane Valley, WA 99206 2017-06-18
1588105308 Pine Ridge Management Wa LLC Assisted Living Facility 5615 West Umatilla, Spokane, WA 99206 2017-03-13
1427405893 Sarah Winn Counselor 721 N Pines, Spokane Valley, WA 99206 2016-05-16
1134573199 Elzbieta H Anderson Acupuncturist 210 N University Rd Ste 200, Spokane Valley, WA 99206 2016-04-15
Find all providers in zip 99206

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
1700342151 Heather Lea Watkins Dietitian, Registered 10807 E Montgomery Dr Ste 8, Spokane Valley, WA 99206-4777 2019-02-11
1700120193 Jessica Beth Berghoff Dietitian, Registered 10102 E 17th Ln, Spokane Valley, WA 99206-3427 2012-11-26
1598905663 Spokane Valley Washington Hospital Company LLC Dietitian, Registered 12606 East Mission Ave, Spokane Valley, WA 99216-3421 2009-03-02
1528230356 Beth Frances Davis Dietitian, Registered 11703 E Sprague Ave, Bldg C-3, Spokane Valley, WA 99206-6128 2008-04-01
1376165860 Emory Kennedy-pearson Finley Dietitian, Registered 10807 E Montgomery Dr, Spokane Valley, WA 99206-4777 2020-05-07
1962023721 Brajee Green Dietitian, Registered 10807 E Montgomery Dr Ste 8, Spokane Valley, WA 99206-4777 2020-05-04
1841833290 Nicholas Allen Wood Dietitian, Registered 10807 E Montgomery Dr, Spokane Valley, WA 99206-4777 2019-10-17
1649833708 Catherine Mulligan Nilles Dietitian, Registered 10807 E Montgomery Dr Ste 8, Spokane Valley, WA 99206-4777 2019-04-15
1013473230 Dana Sitts Dietitian, Registered 10807 E Montgomery Dr Ste 8, Spokane Valley, WA 99206-4777 2019-02-12
1104302736 Keisha Engley Dietitian, Registered 1212 N Pines Rd, Spokane Valley, WA 99206-4939 2018-07-17
Find all providers in SPOKANE VALLEY

Competitor

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City SPOKANE VALLEY
Zip Code 99206

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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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