Individual provider Active NPI

Margo Elaine Johnson, R.D., L.D.

  • Registered Dietitian
  • Little Rock, AR
National Provider Identifier
1235296773
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
848 Issued in AR
Practice address
500 S University Ave
Suite 219
Little Rock, AR 72205-5302
Phone
(501) 730-4179
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 848 AR Primary

Addresses

Primary practice location

500 S University Ave
Suite 219
Little Rock, AR 72205-5302

Mailing address

1103 Red Rock RNCH
San Antonio, TX 78245-4435
Phone (501) 730-4179

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070515000335 AR Practitioner - Registered Dietitian Or Nutrition Professional 0244337996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1949ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Consultants CurrentSince Aug 13, 2018 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients
First US Clinic PA Past Accepting new patients
Firt US Clinic Inc Past Accepting new patients

Locations

500 S University Ave
Ste 219
Little Rock, AR 72205
Phone (501) 227-7797

9601 Baptist Health Dr
Ste 400
Little Rock, AR 72205
Phone (501) 224-2141

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDCEBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DEHICA

Organizations & group practices 5

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1235296773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 RED ROCK RNCH",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782454435",
            "telephone_number": "501-730-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE",
            "address_2": "SUITE 219",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055302",
            "telephone_number": "501-730-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARGO",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "R.D., L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AR",
            "license": "848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.