Johanna Lopez, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND7671 Issued in FL

Practice address

1323 SE 17TH St
PMB 100065
Ft. Lauderdale, FL 33316

Phone

(786) 973-2363

NPI assigned

Feb 1, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Johanna Lopez Ciro Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Vital Nutrition DietitianGroup PAC ID 7113370081, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vital Nutrition Dietitian

  • Registered Dietitian
  • Ocala, FL
  • NPI 1477330603

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD
• BSH Health PA

  • Registered Dietitian
  • New York, NY
  • NPI 1679303465

  FL

  Medicare reassignment
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)
• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1144688466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 SE 17TH ST",
            "address_2": "PMB 100065",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33316",
            "telephone_number": "786-973-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 SE 17TH ST",
            "address_2": "PMB 100065",
            "city": "FT. LAUDERDALE",
            "state": "FL",
            "postal_code": "33316",
            "telephone_number": "786-973-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JOHANNA",
        "name_prefix": "Dr.",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "CDR 86017854",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND7671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNA",
            "last_name": "LOPEZ CIRO",
            "credential": "RDN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Lopez
• Gabriella Zurina Lopez
• Hassel Yesenia Lopez
• Isabella Mellits Lopez, MD
• Jacqueline Lopez
• Louise Raphaela Lopez, PSY.D.
• Marisa P Lopez, MD
• Miguel Lopez, PA
• Rogelio Lopez, RPH
• Frank John Lopresti Jr.

• Registered Dietitian in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.