Active NPI
Chasity L Johnson, RD, LD
- Registered Dietitian
- Jackson, MS
National Provider Identifier
1487867032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D0920
- Practice address
- 1225 North State Street
Jackson, MS 39202 - Phone
- (601) 968-1362
- Fax
- (601) 292-4592
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | D0920 | MS | Primary |
Addresses
Primary practice location
1225 North State Street
Jackson, MS 39202
Mailing address
PO Box 23090
Morganti - Admin Finance
Jackson, MS 39225-3090
Phone (601) 968-1362
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0920 | MS | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi Baptist Medical Center, Inc. | Past | 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.
-
- Psychiatric Hospital Unit
- Jackson, MS
- NPI 1417984360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487867032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23090",
"address_2": "MORGANTI - ADMIN FINANCE",
"city": "JACKSON",
"state": "MS",
"postal_code": "392253090",
"telephone_number": "601-968-1362",
"fax_number": "601-292-4592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 NORTH STATE STREET",
"city": "JACKSON",
"state": "MS",
"postal_code": "39202",
"telephone_number": "601-968-1362",
"fax_number": "601-292-4592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CHASITY",
"middle_name": "L",
"credential": "RD, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "D0920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.