Crystal J Johnson in Spokane - Nutrition, Metabolic
Crystal J Johnson - NPI 1306839956
Crystal J Johnson is a Nutrition, Metabolic in Spokane, Washington. Crystal J Johnson practices all healthcare services and medical treatments related to Nutrition, Metabolic. The NPI Number for Crystal J Johnson is 1306839956. The last update date is 2011-02-09.
Crystal J Johnson's current location address is 11608 N Kathy Dr, Spokane, Washington. You can contact this provider via phone number 5098692330. The mailing address for Crystal J Johnson is 11608 N Kathy Dr, Spokane, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Crystal J Johnson |
|---|---|
| Address | 11608 N Kathy Dr, Spokane, Washington |
| Phone Number | 5098692330 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS, RD, CD |
NPI Number Detail
| NPI Number | 1306839956 |
|---|---|
| Provider Enumeration Date | 2005-08-30 |
| Last Updated Date | 2011-02-09 |
Provider Mailing Address Detail
| Address | 11608 N Kathy Dr |
|---|---|
| City | Spokane |
| State | Washington (WA) |
| Post Code | 992182725 |
| Phone Number | 5098692330 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Metabolic |
|---|---|
| Taxonomy | 133Vn1006X |
| Licence No | DX3074 |
|
Definition: A dietitian who specializes in metabolic and nutritional disorders. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8299679 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Crystal J Johnson by the Centers for Medicare & Medicaid Services (CMS)?
The Crystal J Johnson has been assigned the NPI (National Provider Identifier) 1306839956. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Crystal J Johnson is located?
The Crystal J Johnson is situated at the following address: 11608 N Kathy Dr, Spokane, WA, 992182725.
What is Crystal J Johnson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Crystal J Johnson is Nutrition, Metabolic, and the taxonomy classification code that categorizes this area of expertise is 133Vn1006X.
On what date did the Crystal J Johnson receive the assignment of its 1306839956 from the Centers for Medicare & Medicaid Services?
The Crystal J Johnson was issued its 1306839956 by the Centers for Medicare & Medicaid Services on 2005-08-30.
As of what date was the information pertaining to Crystal J Johnson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Crystal J Johnson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-02-09.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH