Rachelle Johnson, R.D

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

2004023246 Issued in MO

Practice address

1200 E Marshall St
Charleston, MO 63834-1336

Phone

(573) 683-2191

Fax

(573) 683-6539

NPI assigned

Jan 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Mississippi County Health Department

  • Public Health or Welfare Agency
  • Charleston, MO
  • NPI 1023210648
  NPD Authorized official
• Mississippi County Health Department

  • Public Health or Welfare Agency
  • Charleston, MO
  • NPI 1356813257
  NPD Authorized official

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1225369366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E MARSHALL ST",
            "city": "CHARLESTON",
            "state": "MO",
            "postal_code": "638341336",
            "telephone_number": "573-683-2191",
            "fax_number": "573-683-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MARSHALL ST",
            "city": "CHARLESTON",
            "state": "MO",
            "postal_code": "638341336",
            "telephone_number": "573-683-2191",
            "fax_number": "573-683-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RACHELLE",
        "credential": "R.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MO",
            "license": "2004023246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357290501",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael C Hakala, D.O.
• Rachel Hanauer, FNP-BC
• Kelsey Lane Holder, PHARMD
• Justine Horton
• Ican Consult & Counseling Center LLC
• Heidi Jones
• Maradale Karafa, APRN, FNP-C
• Macey Laplant, LCSW
• Logan & Seiler Inc
• Richard N Logan Jr., PHARM.D.

• All providers in Charleston, MO
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.