Crystal J Johnson, MS, RD, CDE, CD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI00001258 Issued in WA

Practice address

11608 N Kathy Dr
Spokane, WA 99218-2725

Phone

(509) 869-2330

NPI assigned

Aug 30, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1306839956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11608 N KATHY DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992182725",
            "telephone_number": "509-869-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11608 N KATHY DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992182725",
            "telephone_number": "509-869-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CRYSTAL",
        "middle_name": "J",
        "credential": "MS, RD, CDE, CD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI00001258",
            "primary": true
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "MD",
            "license": "DX3074",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8299679",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Johnson, PSYD
• Carrie Johnson, LMHCA
• Chad Thomas Johnson, D.C.
• Charlotte M Johnson, RN
• Christine Nicole Johnson, MSW
• D'Arcy N Johnson, MD
• Daniel Johnson, RN
• Danika Shae-Lee Johnson
• Desiree A Johnson, RN
• Desiree Brooke Johnson, BA

• Registered Dietitian in Spokane, WA
• Providers in Spokane, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.