Individual provider Active NPI

Erika Johnson, MS, RD, CSR

  • Registered Dietitian
  • Vienna, VA
National Provider Identifier
1467709253
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
928007 Issued in IL
Practice address
8302 Old Courthouse Rd Ste C
Vienna, VA 22182-3873
Phone
(703) 462-8138
Fax
(703) 462-8139
NPI assigned
Aug 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 928007 IL Primary

Addresses

Primary practice location

8302 Old Courthouse Rd Ste C
Vienna, VA 22182-3873

Mailing address

8188 Madrillon CT
Vienna, VA 22182-3752
Phone (703) 462-8138

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
928007ILMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax Internal Medicine Associates, PC PastSince Nov 27, 2011 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1467709253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8188 MADRILLON CT",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823752",
            "telephone_number": "703-462-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8302 OLD COURTHOUSE RD STE C",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823873",
            "telephone_number": "703-462-8138",
            "fax_number": "703-462-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIKA",
        "credential": "MS, RD, CSR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "928007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.