Active NPI
Grace P. Johnson, MA, RD, LD
- Registered Dietitian
- Cutler Bay, FL
National Provider Identifier
1568703601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND 3260
- Practice address
- 19590 Old Cutler Rd
Cutler Bay, FL 33157-8048 - Phone
- (786) 466-3500
- Fax
- (786) 466-3889
- NPI assigned
- Mar 14, 2013
- 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 | ND 3260 | FL | Primary |
Addresses
Primary practice location
19590 Old Cutler Rd
Cutler Bay, FL 33157-8048
Mailing address
764 NW 154TH Ave
Pembroke Pines, FL 33028-1863
Phone (954) 443-0222
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND 3260 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1568703601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "764 NW 154TH AVE",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330281863",
"telephone_number": "954-443-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19590 OLD CUTLER RD",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331578048",
"telephone_number": "786-466-3500",
"fax_number": "786-466-3889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "GRACE",
"middle_name": "P.",
"name_prefix": "Ms.",
"credential": "MA, RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-14",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND 3260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cutler Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.