Active NPI
Matilda Johnson, RDN, MS, MPH, PHD
- Registered Dietitian
- Vienna, VA
National Provider Identifier
1134085210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DX7522
- Practice address
- 2258 Wheystone St
Vienna, VA 22182-5237 - Phone
- (601) 720-0998
- NPI assigned
- Jan 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | DX7522 | MD | Primary |
Addresses
Primary practice location
2258 Wheystone St
Vienna, VA 22182-5237
Mailing address
2258 Wheystone St
Vienna, VA 22182-5237
Phone (601) 720-0998
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)
- Not enrolled
- Credentials
- Master of Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DX7522 | MD | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767225600000",
"number": "1134085210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2258 WHEYSTONE ST",
"city": "VIENNA",
"state": "VA",
"postal_code": "221825237",
"telephone_number": "601-720-0998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2258 WHEYSTONE ST",
"city": "VIENNA",
"state": "VA",
"postal_code": "221825237",
"telephone_number": "601-720-0998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MATILDA",
"name_prefix": "Dr.",
"credential": "RDN, MS, MPH, PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-01",
"last_updated": "2026-01-01",
"certification_date": "2026-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX7522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.