Active NPI
Celestia G. Johnson
- Registered Dietitian
- Cleveland, OH
National Provider Identifier
1740598481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 6213
- Practice address
- 7000 Euclid Ave
Cleveland, OH 44103-4014 - Phone
- (216) 391-0274
- NPI assigned
- Sep 15, 2010
- Last updated
- Apr 28, 2014
- 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 | 6213 | OH | Primary |
Addresses
Primary practice location
7000 Euclid Ave
Cleveland, OH 44103-4014
Mailing address
20579 Stratford Ave
Rocky River, OH 44116-1450
Phone (253) 831-0352
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6213 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398643200000",
"number": "1740598481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20579 STRATFORD AVE",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441161450",
"telephone_number": "253-831-0352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7000 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441034014",
"telephone_number": "216-391-0274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CELESTIA",
"middle_name": "G.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-15",
"last_updated": "2014-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OH",
"license": "6213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.