Jessica R Johnson, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

001779 Issued in IA

Practice address

Grinnell Regional Medical Center
210 4TH Ave
Grinnell, IA 50112-1898

Phone

(641) 236-2435

Fax

(641) 236-2044

NPI assigned

Oct 5, 2009

Last updated

Oct 5, 2009By the provider in NPPES

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

Other names 1

• Jessica R Conrad Former name

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": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1780919076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 NW ABILENE RD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232112",
            "telephone_number": "515-868-8344",
            "fax_number": "641-236-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GRINNELL REGIONAL MEDICAL CENTER",
            "address_2": "210 4TH AVE",
            "city": "GRINNELL",
            "state": "IA",
            "postal_code": "501121898",
            "telephone_number": "641-236-2435",
            "fax_number": "641-236-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JESSICA",
        "middle_name": "R",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IA",
            "license": "001779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CONRAD",
            "middle_name": "R",
            "credential": "RD, LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer M Rayburn, P.C. (Healing Hands Chiropractic)
• Jensen Optometrists, P.L.L.C.
• Clark J Jensen, O.D.
• Scott A Jensen, O.D.
• Whitney Ann Jensen, OD
• Baylee Jones
• Michael Justin Jones, MS, LAT, ATC
• Julie L. Hendricks, DDS, PC (Dental Associates of Grinnell)
• Kimberlee A Kali, LCSW/LISW
• Dylan James Kastner, TLMHC

• Registered Dietitian in Grinnell, IA
• Providers in Grinnell, IA by specialty
• Registered Dietitian in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.