DIANE MCKINNEY JOHNSON (NPI# 1215192505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215192505 |
| Entity Type | Individual |
| Full Name | DIANE MCKINNEY JOHNSON |
| Credential | M.S.R.D.L.D. |
| Practice Address |
118 E Sunbridge Dr Fayetteville AR 72703-2830 |
| Practice Telephone | 4794441400 |
| Practice Fax Number | 4794441422 |
| Mailing Telephone | 4794441400 |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2008-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 0139 | AR | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241101 | Diane Mae Johnson | Counselor | 1345 E Madison Ave Spc 24, El Cajon, CA 92021-8535 | 2020-06-26 |
| 1093192759 | Diane Mason Johnson | Speech-Language Pathologist | 612 Travis St Apt 11d, Kerrville, TX 78028-4767 | 2015-05-01 |
| 1184045163 | Diane Johnson | Community/Behavioral Health | 1141 Gable Terrace, Jonesboro, GA 30236 | 2013-12-18 |
| 1295098127 | Diane Renee Johnson | Occupational Therapist | 1414 S Denver Ave, Tulsa, OK 74119-3423 | 2012-06-15 |
| 1992015952 | Diane Johnson | Registered Nurse | 28 Red Maple Rd, Saugerties, NY 12477-9326 | 2010-10-08 |
| 1124271895 | Diane Natasha Johnson | Occupational Therapist | 2 Law St, Valley Stream, NY 11580-1018 | 2008-10-28 |
| 1952562001 | Diane Karen Johnson | Occupational Therapist | 175 Suncrest Rd, Talent, OR 97540-8686 | 2008-06-20 |
| 1922294107 | Diane Sue Johnson | Registered Nurse | 901 West Memorial Drive, Houghton, MI 49931 | 2007-09-20 |
| 1366643009 | Diane Karen Johnson | Physician Assistant | 955 Lowes Ln, Mt Vernon, TX 75457-9601 | 2007-05-30 |
| 1255546768 | Diane Elizabeth Johnson | Psychologist | 219 W Patison St, Port Hadlock, WA 98339-9710 | 2007-05-10 |
| Street Address |
118 E SUNBRIDGE DR |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881651925 | Thomas T. Lawson, Ph.d. Pa | Psychologist | 118 E Sunbridge Dr, Fayetteville, AR 72703-2830 | 2006-05-01 |
| 1568613891 | Stefanie N Lawson | Counselor | 118 E Sunbridge Dr, Fayetteville, AR 72703-2830 | 2008-10-06 |
| 1730127119 | Amy Beth Partak | Social Worker | 118 E Sunbridge Dr, Fayetteville, AR 72703-2830 | 2006-06-04 |
| 1083672299 | Thomas T. Lawson | Psychologist | 118 E Sunbridge Dr, Fayetteville, AR 72703-2830 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099238 | Emily Keeling | Dietitian, Registered | 1238 N Vista Pl, Fayetteville, AR 72703-1352 | 2020-09-28 |
| 1114544723 | Katherine Johanna Martin | Dietitian, Registered | 449 Tartan Ct, Fayetteville, NC 28311-1694 | 2020-06-30 |
| 1447872486 | Lindsay Spivey Petty | Dietitian, Registered | 190 Cedar Creek Ct, Fayetteville, GA 30215-2799 | 2020-05-13 |
| 1366003980 | Laura Hill | Dietitian, Registered | 3215 N Northhills Blvd Ste 3, Fayetteville, AR 72703-4424 | 2019-06-25 |
| 1073082053 | Natalie Bules | Dietitian, Registered | 688 E Millsap Rd Ste 100, Fayetteville, AR 72703-3930 | 2018-11-19 |
| 1801370051 | Truly Nourished, LLC | Dietitian, Registered | 500 West Lanier Ave., Suite 908, Fayetteville, GA 30215 | 2018-09-23 |
| 1326542317 | Jennifer Joyner | Dietitian, Registered | 424 Mcarthur Rd, Fayetteville, NC 28311-6924 | 2018-03-22 |
| 1114428984 | Paul Thomas Brown | Dietitian, Registered | 3082 W Jewell Rd Apt 1, Fayetteville, AR 72701-1586 | 2018-02-26 |
| 1356799183 | Nutrition Consultants, Inc. | Dietitian, Registered | 6866 Towbridge Rd, Fayetteville, NC 28306-2534 | 2016-06-02 |
| 1619359346 | Sabrina Teresa Hesford | Dietitian, Registered | 408 Warren St, Fayetteville, NY 13066-2138 | 2015-06-18 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on DIANE MCKINNEY JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.