Marissa Johnson, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

86371812 Issued in PA

Practice address

4050 Skyron Dr Ste D1
Doylestown, PA 18902-1143

Phone

(215) 348-5977

NPI assigned

May 8, 2023

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

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": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1669162293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 SEEDLING DR",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189662841",
            "telephone_number": "215-595-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 SKYRON DR STE D1",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189021143",
            "telephone_number": "215-348-5977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 York Rd",
            "address_purpose": "LOCATION",
            "city": "New Hope",
            "state": "PA",
            "postal_code": "189381084",
            "country_code": "US",
            "telephone_number": "267-417-9506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARISSA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "PA",
            "license": "86371812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Doylestown, PA
• Providers in Doylestown, PA by specialty
• Registered Dietitian in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.

Verify at the official NPI Registry.