Jan W Johnson, RDN, LDN
Individual provider Active NPI Registered Dietitian · Lafitte, LA
NPI 1326467622 · NPPES record last updated Apr 15, 2014
Key facts
- NPI
- 1326467622
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 143 (LA)
- Practice address
- 5278 Church St
Lafitte, LA 70067-5224 - Phone
- (504) 451-0998
- NPI assigned
- Apr 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143 | LA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 143 | LA | Yes |
Addresses
Primary practice location
5278 Church St
Lafitte, LA 70067-5224
Mailing address
5278 Church St
Lafitte, LA 70067-5224
Phone (504) 451-0998
Other providers in Lafitte, LA
- Rashida Francois
- Hilarie Frickey
- Eric Giesemann
- Jefferson Community Health Care Centers, Inc
- Jefferson Community Health Care Centers, Inc
- Quynh T Lu-Lewis
- Courtney Leigh Pellegrin
- Elizabeth Ponder
- Tewelde'S Lafitte Drugs
- Tewelde'S Lafitte Drugs 2, Inc.
All providers in Lafitte, LA · Registered Dietitian in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.