Carolyn Suzanne Johansen in Barre - Dietitian, Registered
Carolyn Suzanne Johansen - NPI 1578607099
Carolyn Suzanne Johansen is a Dietitian, Registered in Barre, Vermont. Carolyn Suzanne Johansen practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Carolyn Suzanne Johansen is 1578607099. The last update date is 2007-07-09.
Carolyn Suzanne Johansen's current location address is 20 S Main St, Barre, Vermont. You can contact this provider via phone number 8024767607 and fax number 8022444122. The mailing address for Carolyn Suzanne Johansen is 20 S Main St, Barre, Vermont. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn Suzanne Johansen |
|---|---|
| Address | 20 S Main St, Barre, Vermont |
| Phone Number | 8024767607 |
| Fax Number | 8022444122 |
| Sole Proprietor | Y |
| Credentials | RD, CDE, C |
NPI Number Detail
| NPI Number | 1578607099 |
|---|---|
| Provider Enumeration Date | 2007-02-17 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 20 S Main St |
|---|---|
| City | Barre |
| State | Vermont (VT) |
| Post Code | 56414826 |
| Phone Number | 8024767607 |
| Fax Number | 8022444122 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 074-0000070 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1007165 | VT | -- | |
| 47689 | VT | MVP NUMBER | |
| 28597 | VT | BLUE CROSS BLUE SHIELD NU | |
| GREE 29429 | VT | BCBS GREEN MT NUTRITRION |
Post Comment/ Review Below
What is the Carolyn Suzanne Johansen's 1578607099?
The Carolyn Suzanne Johansen's NPI (National Provider Identifier) Number is 1578607099. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Carolyn Suzanne Johansen?
The Carolyn Suzanne Johansen is physically situated at 20 S Main St, in the city of Barre, state of VT, with the postal code 56414826.
What is Carolyn Suzanne Johansen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carolyn Suzanne Johansen's area of specialization is Dietitian, Registered, and the corresponding taxonomy code that categorizes this field of practice is 133V00000X.
On what date did Carolyn Suzanne Johansen receive its 1578607099 assignment from the Centers for Medicare & Medicaid Services?
The Carolyn Suzanne Johansen was assigned its 1578607099 on 2007-02-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Carolyn Suzanne Johansen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Carolyn Suzanne Johansen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.