Kathryn Margaret Johnson, R.D., L.D.

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

DT80742 Issued in TX

Practice address

1935 Motor Street
Clinical Nutrition
Dallas, TX 75235

Phone

(214) 456-2178

Fax

(214) 456-6287

NPI assigned

Sep 18, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1538318266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 REAGAN ST",
            "address_2": "APT. 113",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752193312",
            "telephone_number": "214-908-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 MOTOR STREET",
            "address_2": "CLINICAL NUTRITION",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75235",
            "telephone_number": "214-456-2178",
            "fax_number": "214-456-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHRYN",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "R.D., L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "TX",
            "license": "DT80742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kandice A Johnson, RBT
• Kari Lynn Johnson, OTR
• Karla Johnson
• Karmen Johnson, RBT
• Katherine Anna Johnson, MD
• Kea Johnson
• Kelly Johnson, PT, DPT
• Kelly A. Johnson, MD
• Kendra Johnson
• Kendrick C Johnson, CRNA

• Pediatric Nutrition Registered Dietitian in Dallas, TX
• Providers in Dallas, TX by specialty
• Pediatric Nutrition Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.