Active NPI
Makenzie Johnson, MPH, RDN, LD
- Registered Dietitian
- Pasadena, TX
National Provider Identifier
1427432004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT83789
- Practice address
- 3333 Bayshore Blvd Ste 240
Pasadena, TX 77504-1961 - Phone
- (713) 840-5190
- Fax
- (713) 944-3839
- NPI assigned
- Jul 14, 2015
- 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 | DT83789 | TX | Primary |
Addresses
Primary practice location
3333 Bayshore Blvd Ste 240
Pasadena, TX 77504-1961
Mailing address
3333 Bayshore Blvd Ste 240
Pasadena, TX 77504-1961
Phone (713) 840-5190
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 |
|---|---|---|---|
| DT83789 | TX | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1427432004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BAYSHORE BLVD STE 240",
"city": "PASADENA",
"state": "TX",
"postal_code": "775041961",
"telephone_number": "713-840-5190",
"fax_number": "713-944-3839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BAYSHORE BLVD STE 240",
"city": "PASADENA",
"state": "TX",
"postal_code": "775041961",
"telephone_number": "713-840-5190",
"fax_number": "713-944-3839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MAKENZIE",
"name_prefix": "Mrs.",
"credential": "MPH, RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-14",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT83789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.