Kathryn Johnson, RD, LD
Individual provider Active NPI Registered Dietitian · Waterville, MN
NPI 1912865148 · NPPES record last updated Jan 15, 2026
Key facts
- NPI
- 1912865148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 201 Paquin St E Apt 4
Waterville, MN 56096-1489 - Phone
- (507) 491-2171
- NPI assigned
- Jan 15, 2026
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | MN | Yes |
Addresses
Primary practice location
201 Paquin St E Apt 4
Waterville, MN 56096-1489
Mailing address
201 Paquin St E Apt 4
Waterville, MN 56096-1489
Other providers in Waterville, MN
- Annette Benson
- Bergs Pharmacy Inc
- Deborah Kay Cook
- Angela Ann Dahlberg
- Le Sueur Residence Inc
- Kristin Mertins
- Revive Recovery
- William Allen Struve
- Sunrise Products of Waterville Minnesota Inc
All providers in Waterville, MN · Registered Dietitian in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.