Active NPI
Regina Johnston
- Registered Dietitian
- Wilmington, DE
National Provider Identifier
1396779674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN0000241
- Practice address
- 3506 Kennett Pike
Wilmington, DE 19807-3019 - Phone
- (302) 661-3000
- NPI assigned
- Jul 10, 2006
- Last updated
- Jun 20, 2008
- 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 | DN0000241 | DE | Primary |
Addresses
Primary practice location
3506 Kennett Pike
Wilmington, DE 19807-3019
Mailing address
PO Box 30170
Wilmington, DE 19805-7170
Phone (302) 623-7019
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN0000241 | DE | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1396779674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30170",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198057170",
"telephone_number": "302-623-7019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3506 KENNETT PIKE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198073019",
"telephone_number": "302-661-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "REGINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "DE",
"license": "DN0000241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.