Active NPI
Karen Ruth Johnson, RD, LMNT
- Registered Dietitian
- Scottsbluff, NE
National Provider Identifier
1992823777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 610
- Practice address
- 4021 Avenue B
Scottsbluff, NE 69361-4602 - Phone
- (308) 630-2051
- Fax
- (308) 630-1815
- NPI assigned
- Mar 27, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 610 | NE | Primary |
Addresses
Primary practice location
4021 Avenue B
Scottsbluff, NE 69361-4602
Mailing address
4021 Avenue B
Scottsbluff, NE 69361-4602
Phone (308) 630-2051
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610 | Other | NE | STATE LICENSURE |
| 864129 | Other | NE | CDR NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 610 | NE | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992823777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4021 AVENUE B",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693614602",
"telephone_number": "308-630-2051",
"fax_number": "308-630-1815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4021 AVENUE B",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693614602",
"telephone_number": "308-630-2051",
"fax_number": "308-630-1815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "KAREN",
"middle_name": "RUTH",
"credential": "RD, LMNT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NE",
"license": "610",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSURE",
"identifier": "610",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR NUMBER",
"identifier": "864129",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scottsbluff, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.