Michelle Guzman Johnson, MS, RD, CSSD, CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI60193560 Issued in WA

Practice address

4455 148TH Ave NE
Bellevue, WA 98007-3120

Phone

(425) 861-6258

NPI assigned

May 13, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shelly Guzman Johnson Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 19, 2020 through Feb 19, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1376954370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 148TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073120",
            "telephone_number": "425-861-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 148TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073120",
            "telephone_number": "425-861-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN JOHNSON",
        "first_name": "MICHELLE",
        "credential": "MS, RD, CSSD, CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WA",
            "license": "DI60193560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bellevue",
            "affiliation": "N",
            "address_1": "4455 148th Ave NE",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980073120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "GUZMAN JOHNSON",
            "credential": "MS, RD, CSSD, CD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eric Albert Gustafson, MD
• Charlotta G Gustafsson
• Ebony V Guthrie, RPT CNA MAP CPT MROA
• Gregory Doxey Gutke, M.D., M.P.H.
• Jessica Guy
• Alejandra Teresa Guzman-Ramos
• Patricia Guzman, LMP
• Eileen Gwinn, ARNP
• Sarvesh Gyawali, MD
• H&G Wellness PS (Disc Centers of America Bellevue)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.