Active NPI
Carol Weaver Johnson, MS. RDN, LDN
- Registered Dietitian
- Kings Mountain, NC
National Provider Identifier
1003945254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L001229
- Practice address
- 103 Spurgen Dr
Kings Mountain, NC 28086-7808 - Phone
- (704) 692-7727
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L001229 | NC | Primary |
Addresses
Primary practice location
103 Spurgen Dr
Kings Mountain, NC 28086-7808
Mailing address
103 Spurgen Dr
Kings Mountain, NC 28086-7808
Phone (704) 692-7727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1434P | Other | NC | PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L001229 | NC | MD | Registered Dietitian |
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1003945254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 SPURGEN DR",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280867808",
"telephone_number": "704-692-7727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 SPURGEN DR",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280867808",
"telephone_number": "704-692-7727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CAROL",
"middle_name": "WEAVER",
"name_prefix": "Mrs.",
"credential": "MS. RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L001229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "1434P",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kings Mountain, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.