Active NPI
Peggy Ann Johnston, R.D.
- Registered Dietitian
- Kearney, NE
National Provider Identifier
1316062185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 456
- Practice address
- 10 E 31St St
Kearney, NE 68847-2926 - Phone
- (308) 865-2640
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 456 | NE | Primary |
Addresses
Primary practice location
10 E 31St St
Kearney, NE 68847-2926
Mailing address
210 E 34TH St
Kearney, NE 68847-3024
Phone (308) 234-5389
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R551762 | Other | NE | ADA REGISTRATION NUMBER |
| 456 | Other | NE | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 456 | NE | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316062185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E 34TH ST",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688473024",
"telephone_number": "308-234-5389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 E 31ST ST",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688472926",
"telephone_number": "308-865-2640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "PEGGY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NE",
"license": "456",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADA REGISTRATION NUMBER",
"identifier": "R551762",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "456",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.