STEPHANY JOHNSON


Address: 8603 N University St, Peoria, IL 61615-1631
Phone: 3092266080

STEPHANY JOHNSON (NPI# 1366953911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366953911
Entity Type Individual
Full Name STEPHANY JOHNSON
Credential RD
Practice Address 8603 N University St
Peoria
IL 61615-1631
Mailing Address 1223 E Hallock Hollow Rd
Chillicothe
IL 61523-9545
Practice Telephone 3092266080
Mailing Telephone 3093600659
Enumeration Date 2017-10-22
Last Update Date 2017-10-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 164.007222 IL Dietary & Nutritional Service Providers

Office Location

Street Address 8603 N UNIVERSITY ST
City PEORIA
State IL
Zip Code 61615-1631

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700270899 Accelerated Rehabilitation Centers, Ltd Physical Therapist 8603 N University St, Peoria, IL 61615-1631 2015-03-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124627906 Lance Jay Bucher Occupational Therapist 8600 Il-91, Peoria, IL 61615 2020-10-22
1093327496 Angela Mitchell Speech-Language Pathologist 3903 W Ridgeview Dr, Peoria, IL 61615 2020-08-18
1578110680 Emily E Buenting Audiologist 8600 Il Route 91, Suite 300, Peoria, IL 61615 2019-08-22
1730655572 Sylwia M. Budzik Physician Assistant 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 2018-10-19
1487169207 Heather Hart Registered Nurse 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 2017-12-04
1528586849 Leanne Runyon Speech-Language Pathologist 10723 Collett Dr., Peoria, IL 61615 2017-09-07
1467974196 Elizabeth A Mcleod Nurse Practitioner 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 2017-07-14
1790223022 Janet Warner Counselor 8914 North Prarie Court, Peoria, IL 61615 2017-02-07
1437524022 Brooke Bisping Dietitian, Registered 7610 North Orange Prairie Road, Peoria, IL 61615 2015-12-08
1003292111 Crystal Ann Casper Dietitian, Registered 7610 N Orange Prarie Road, Peoria, IL 61615 2015-07-31
Find all providers in zip 61615

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255950366 Colleen Hamilton Dietitian, Registered 1109 W Sleepy Hollow Ct, Peoria, IL 61615-1101 2020-04-09
1518328665 Jenna Bishop Dietitian, Registered 600 Ne Water Street, Peoria, IL 61637 2016-03-17
1437524022 Brooke Bisping Dietitian, Registered 7610 North Orange Prairie Road, Peoria, IL 61615 2015-12-08
1003292111 Crystal Ann Casper Dietitian, Registered 7610 N Orange Prarie Road, Peoria, IL 61615 2015-07-31
1437536984 Ashley Thomas Dietitian, Registered 1609 W Moss Ave, Peoria, IL 61606-1642 2015-05-05
1205228558 Ana Cristina Schallhorn Dietitian, Registered 4813 N Glen Ct, Peoria, IL 61614-4644 2015-02-24
1164844262 Kelsey Knott Dietitian, Registered 4125 N Sheridan Rd Ste 20, Peoria, IL 61614-7174 2014-01-09
1285078931 Marilyn Bukoff Priddy Dietitian, Registered 1617 W Devereux Dr, Peoria, IL 61614-4009 2013-04-24
1992061998 Mayuri Rangdal Dietitian, Registered 2640 W Stonehenge Ct, Peoria, IL 61615-7477 2012-04-04
1851692123 Lauren Ashley Rusk Dietitian, Registered 9900 N Dalea Ln, 9212, Peoria, IL 61615-7268 2010-11-03
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 61615

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Dataset Information

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.

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