Individual provider Active NPI

Dana Arndt Johnson, MS, RDN, LDN

  • Registered Dietitian
  • Cornelius, NC
National Provider Identifier
1083255210
Registry record updated Sep 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L005944 Issued in NC
Practice address
18137 W Catawba Ave
Cornelius, NC 28031-5641
Phone
(828) 234-3060
NPI assigned
Sep 29, 2019
Last updated
Sep 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X L005944 NC
Registered Dietitian 133V00000X L005944 NC Primary

Addresses

Primary practice location

18137 W Catawba Ave
Cornelius, NC 28031-5641

Mailing address

18137 W Catawba Ave
Cornelius, NC 28031-5641
Phone (828) 234-3060

Other identifiers 2

IdentifierTypeStateIssuer
86149975OtherNCCOMMISSION ON DIETETIC REGISTRATION
L005944OtherNCNORTH CAROLINA BOARD OF DIETETICS/NUTRITION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220513001391 NC Practitioner - Registered Dietitian Or Nutrition Professional 5193102143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nutrition Healthworks LLCGroup PAC ID 2163835059, 6 clinicians

Practice addresses (Care Compare)

19607 W Catawba Ave
Suite 102
Cornelius, NC 28031-4042
Phone (704) 380-4655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
L005944NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Healthworks LLC Dietitian, Registered CurrentSince Jan 30, 2022 Accepting new patients
NHW of Ga LLC Dietitian, Registered PastSince Jan 26, 2022 Accepting new patients
Ascanio Physical Therapy PastSince May 21, 2021 Accepting new patients

Locations

19607 W Catawba Ave
Ste 102
Cornelius, NC 28031
Phone (704) 625-6191

170 Joe Knox Ave
Mooresville, NC 28117
Phone (704) 360-2779

172 Williamson Rd
Unit 5205
Mooresville, NC 28117

7985 NC Highway 150 E
Unit 24
Terrell, NC 28682

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569715200000",
    "number": "1083255210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18137 W CATAWBA AVE",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315641",
            "telephone_number": "828-234-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18137 W CATAWBA AVE",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315641",
            "telephone_number": "828-234-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DANA",
        "middle_name": "ARNDT",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-29",
        "last_updated": "2019-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NC",
            "license": "L005944",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L005944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "86149975",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF DIETETICS/NUTRITION",
            "identifier": "L005944",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.