Julianne B. Johnson, RD, LD

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

DT01184 Issued in TX

Practice address

602 S State Highway 6
CKD Services of Marlin
Marlin, TX 76661-3527

Phone

(254) 883-3699

Fax

(254) 883-3055

NPI assigned

Jun 1, 2007

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

• Julianne Black Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508068602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 GILA TRL",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765045022",
            "telephone_number": "254-771-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S STATE HIGHWAY 6",
            "address_2": "CKD SERVICES OF MARLIN",
            "city": "MARLIN",
            "state": "TX",
            "postal_code": "766613527",
            "telephone_number": "254-883-3699",
            "fax_number": "254-883-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JULIANNE",
        "middle_name": "B.",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "TX",
            "license": "DT01184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIANNE",
            "last_name": "BLACK",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alfornette Diane Holloway-Timms, LBSW-IPR
• Stephanie Jean Howell
• Ocemaria K Huitt
• Jamie L Hull, FNP-BC
• Emily Humes, PHARMD
• Sylvia Johnson
• Mari Gayle Kall, PTA
• Lisa Lankford
• Carolyn Lofton, MSW, LCSW
• Marlin Family Dentistry

• Renal Nutrition Registered Dietitian in Marlin, TX
• Providers in Marlin, TX by specialty
• Renal Nutrition Registered Dietitian in Texas

• 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.

Verify at the official NPI Registry.