Active NPI
Linda Diane Johnson, RD
- Registered Dietitian
- Taos, NM
National Provider Identifier
1801040308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 523
- Practice address
- 2 Fifth Green Dr
Taos, NM 87571-9513 - Phone
- (575) 737-9514
- NPI assigned
- Nov 11, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 523 | NM | Primary |
| Renal Nutrition Registered Dietitian | 133VN1005X | 523 | NM |
Addresses
Primary practice location
2 Fifth Green Dr
Taos, NM 87571-9513
Mailing address
2 Fifth Green Dr
Taos, NM 87571-9513
Phone (575) 737-9514
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 |
|---|---|---|---|
| 523 | NM | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226361600000",
"number": "1801040308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 FIFTH GREEN DR",
"city": "TAOS",
"state": "NM",
"postal_code": "875719513",
"telephone_number": "575-737-9514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 FIFTH GREEN DR",
"city": "TAOS",
"state": "NM",
"postal_code": "875719513",
"telephone_number": "575-737-9514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LINDA",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-11",
"last_updated": "2008-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NM",
"license": "523",
"primary": true
},
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "NM",
"license": "523",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.