Active NPI
Kathryn Ann Johnson, RDN
- Registered Dietitian
- Rifle, CO
National Provider Identifier
1548034283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 800086
- Practice address
- 501 Airport Rd
Rifle, CO 81650-8510 - Phone
- (970) 625-6200
- Fax
- (970) 625-6203
- NPI assigned
- Nov 13, 2023
- 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 | 800086 | CO | Primary |
Addresses
Primary practice location
501 Airport Rd
Rifle, CO 81650-8510
Mailing address
501 Airport Rd
Rifle, CO 81650-8510
Phone (970) 625-6200
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 |
|---|---|---|---|
| 800086 | CO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1548034283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 AIRPORT RD",
"city": "RIFLE",
"state": "CO",
"postal_code": "816508510",
"telephone_number": "970-625-6200",
"fax_number": "970-625-6203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 AIRPORT RD",
"city": "RIFLE",
"state": "CO",
"postal_code": "816508510",
"telephone_number": "970-625-6200",
"fax_number": "970-625-6203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KATHRYN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-13",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CO",
"license": "800086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rifle, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.