Jennifer Michelle Johnson, M.P.H., R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

927649 Issued in CA

Practice address

1555 Mesa Verde Dr E
#17L
Costa Mesa, CA 92626-5120

Phone

(949) 452-1750

NPI assigned

Jul 9, 2007

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": "1183939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1851599187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 MESA VERDE DR E",
            "address_2": "#17L",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265120",
            "telephone_number": "949-452-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 MESA VERDE DR E",
            "address_2": "#17L",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265120",
            "telephone_number": "949-452-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "M.P.H., R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "927649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Lee Johnson, PT, DPT
• Isabel Johnson
• Jacob Luke Johnson
• Jami Johnson, LCSW
• Jazmyn Brianna Johnson
• Jordan J Johnson
• Megan Christine Johnson, M.D.
• Priscilla Johnson, NBC-HWC
• Robert R Johnson, DO
• Samantha Maree Johnson

• Registered Dietitian in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.