Jennifer Renee Johnson, FDN

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

License

NA Issued in ID

Practice address

4221 W Farm View Dr
Boise, ID 83714-9354

Phone

(702) 557-4451

NPI assigned

Apr 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1144802869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 W FARM VIEW DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837149354",
            "telephone_number": "702-557-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 W FARM VIEW DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837149354",
            "telephone_number": "702-557-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "credential": "FDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "ID",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer@functionalhealthmom.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4221 W Farm View Dr",
            "city": "Boise",
            "state": "ID",
            "country_code": "US",
            "postal_code": "837149354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jared S Johnson, MD
• Jayson Johnson, M.D.
• Jeffrey C Johnson, O.D.
• Jennelle Johnson, LMSW
• Jennifer A Johnson, LPC
• Jill Johnson, B.I.
• Joann M Johnson, CNM
• Joseph H Johnson, OD
• Justin Michael Johnson, PA-C
• Karen Ann Johnson, M.D.

• Health & Wellness Coach in Boise, ID
• Providers in Boise, ID by specialty
• Health & Wellness Coach in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.