Viva Marie Johanknecht, MS RD CD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1709-029 Issued in WI

Practice address

10 Tri Park Way
Appleton, WI 54914-1658

Phone

(920) 831-0070

NPI assigned

Jul 7, 2009

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

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Milwaukee Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Appleton, WI
  • NPI 1669643912
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1881823292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 WHEATFIELD WAY",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "54904",
            "telephone_number": "920-426-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 TRI PARK WAY",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549141658",
            "telephone_number": "920-831-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANKNECHT",
        "first_name": "VIVA",
        "middle_name": "MARIE",
        "credential": "MS RD CD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "1709-029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JNG Counseling LLC
• Mackenzie Jobs
• Gabrielle Cassandra Jochman, LCSW
• Mindy L Joerndt, NP
• Daniel Joseph Johanek, DDS
• Lawrence Johansen, O.D.
• John H Bradley Deptartment of Veterans Affairs Outpatient Clinic
• Robin K Johnson-Pierre, COTA
• Amy Lou Johnson, MT-BC
• Angela K Johnson, APNP

• Registered Dietitian in Appleton, WI
• Providers in Appleton, WI by specialty
• Registered Dietitian in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.