Active NPI
Francine F Johnson, RD
- Registered Dietitian
- Vicksburg, MS
National Provider Identifier
1619149440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 0545
- Practice address
- 104 McAuley Dr
Vicksburg, MS 39183-2825 - Phone
- (601) 619-3610
- Fax
- (601) 631-2698
- NPI assigned
- Apr 1, 2008
- 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 | 0545 | MS | Primary |
Addresses
Primary practice location
104 McAuley Dr
Vicksburg, MS 39183-2825
Mailing address
PO Box 1198
Dept 03-007RC
Vicksburg, MS 39181-1198
Phone (601) 883-4250
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 |
|---|---|---|---|
| 0545 | MS | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vicksburg Clinic LLC | 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.
-
- Family Medicine Physician
- Vicksburg, MS
- NPI 1790711158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239148800000",
"number": "1619149440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1198",
"address_2": "DEPT 03-007RC",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391811198",
"telephone_number": "601-883-4250",
"fax_number": "601-883-4309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 MCAULEY DR",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391832825",
"telephone_number": "601-619-3610",
"fax_number": "601-631-2698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "FRANCINE",
"middle_name": "F",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2009-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "0545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.