Emily Medved Johnston, M.S., R.D.
Individual provider Active NPI Registered Dietitian · Moss Beach, CA
NPI 1710314729 · NPPES record last updated Oct 4, 2013
Key facts
- NPI
- 1710314729
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 333 Cypress Ave
Moss Beach, CA 94038-9645 - Phone
- (510) 599-1169
- NPI assigned
- Oct 4, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
333 Cypress Ave
Moss Beach, CA 94038-9645
Mailing address
39 W Julian St
Apt 252
San Jose, CA 95110-2451
Other providers in Moss Beach, CA
- Erica Elizabeth Falk
- Suzan R Goodman
- Nancy Sue Harris
- Colleen Marie Hubbert
- Jeaniesar Caluag MD Inc.
- Ray W Lee
- Christina Leonor
- Optum Behavioral Care of California, P.C.
- Jessica Parr
- Michelle Paul-Vogel
All providers in Moss Beach, CA · Registered Dietitian in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.