Marianne Johnson-Knecht

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

808547 Issued in IL

Practice address

23500 US Highway 160
Walsenburg, CO 81089-9524

Phone

(719) 738-5100

Fax

(719) 738-5138

NPI assigned

Jun 25, 2015

Last updated

Jun 25, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1316329469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23500 US HIGHWAY 160",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810899524",
            "telephone_number": "719-738-5100",
            "fax_number": "719-738-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23500 US HIGHWAY 160",
            "city": "WALSENBURG",
            "state": "CO",
            "postal_code": "810899524",
            "telephone_number": "719-738-5100",
            "fax_number": "719-738-5138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-KNECHT",
        "first_name": "MARIANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "808547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huerfano County Hospital District (Spanish Peaks Voice Care)
• Huerfano County Hospital District (Spanish Peaks Regional Health Center)
• Huerfano Las Animas Area Council of Governments (South Central Council of Governments)
• Huerfano Las Animas Area Council of Governments (South Central Council of Governments)
• Iconic Dental Inc
• Hugh M Keating, MA
• Ann Kleeger
• Kathrine Lapole
• Hannah Larson
• Ashley Lisonbee, RDH

• Registered Dietitian in Walsenburg, CO
• Providers in Walsenburg, CO by specialty
• Registered Dietitian in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.