MARY DANIEL JOHNSON (NPI# 1487201703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487201703 |
Entity Type | Individual |
Full Name | MARY DANIEL JOHNSON |
Credential | RD |
Practice Address |
4802 E Johnson Ave Jonesboro AR 72405-8413 |
Mailing Address |
Po Box 1960 Jonesboro AR 72403-1960 |
Practice Telephone | 8709368000 |
Practice Fax Number | 8709343639 |
Mailing Telephone | 8709368000 |
Mailing Fax Number | 8709343639 |
Enumeration Date | 2019-08-21 |
Last Update Date | 2019-08-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | AR | Dietary & Nutritional Service Providers |
Street Address |
4802 E JOHNSON AVE |
City | JONESBORO |
State | AR |
Zip Code | 72405-8413 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699779686 | Paul S Levy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4802 E Johnson Ave, Jonesboro, AR 72401 | 2005-06-08 |
1316546138 | Emily M Allen | Nurse Practitioner | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-10-22 |
1699387274 | Sarah E Dulaney | Clinical Nurse Specialist | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2020-08-17 |
1154965036 | Danny Lee Ricker | Nurse Practitioner | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-11-04 |
1679117659 | Ryan Scott Anderson | Clinical Nurse Specialist | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-11-01 |
1366086787 | Jennifer L Turnbow | Nurse Practitioner | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-10-29 |
1285288357 | Kellye P Brown | Nurse Practitioner | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-07-28 |
1801448592 | Helen F Williams | Nurse Practitioner | 4802 E Johnson Ave, Jonesboro, AR 72405-8413 | 2019-07-12 |
1801350285 | Brandy N Herrington | Physician Assistant | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2019-01-30 |
1225512635 | Stefanie Renee Brackin | Nurse Practitioner | 4802 E Johnson Ave, Jonesboro, AR 72401-8413 | 2018-09-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063023554 | Christopher Marshall | Dentist | 1804 Old Greensboro Rd Bldg B, Jonesboro, AR 72405-0003 | 2020-08-10 |
1346841756 | Hannah Beth Johnston | Occupational Therapy Assistant | 970 County Road 753, Jonesboro, AR 72405-0232 | 2020-11-03 |
1275168213 | Blaine Carson | Optometrist | 3705 E Johnson Ave, Jonesboro, AR 72405-1858 | 2020-03-10 |
1669006359 | Megan Maureen Anderson | Nurse Practitioner | 2712 E Johnson Ave, Jonesboro, AR 72405-1874 | 2020-03-03 |
1922539915 | Whitney Taylor | Registered Nurse | 2712 E Johnson Ave, Jonesboro, AR 72405-1874 | 2017-03-22 |
1205211976 | Higginbotham Dental Group, Pllc | Dentist | 1804 Old Greensboro Rd Ste D, Jonesboro, AR 72405-2076 | 2015-07-23 |
1265087092 | Richardson Anesthesia Pllc | Anesthesiology | 320 County Road 794, Jonesboro, AR 72405-7087 | 2019-08-08 |
1194346304 | Toni Cecil | Student in an Organized Health Care Education/Training Program | 4505 Mockernut Ln, Jonesboro, AR 72405-7848 | 2020-04-28 |
1992306534 | Haley Elizabeth Ballard | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-11-02 |
1457967986 | Ana-liese Torres | Case Manager/Care Coordinator | 1815 Pleasant Grove Rd, Jonesboro, AR 72405-7870 | 2020-09-21 |
Find all providers in zip 72405 |
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 |
---|---|---|---|---|
1609129287 | Tonya Nicole Cooksey | Dietitian, Registered | 2196 Talbot Rdg, Jonesboro, GA 30236-9018 | 2012-10-19 |
1457499915 | Patricia Louise Thielemier | Dietitian, Registered | 538 E Washington Ave, Jonesboro, AR 72401-3109 | 2007-02-04 |
1174536312 | Ashley Rusher Jones | Dietitian, Registered | 125 County Road 7452, Jonesboro, AR 72401-7951 | 2006-08-15 |
1013522408 | Caitlin Rae Cothern | Dietitian, Registered | 416 E Washington Ave, Jonesboro, AR 72401-3108 | 2020-09-11 |
1740830421 | Abigail Sarah Mcnatt | Dietitian, Registered | 416 E Washington Ave, Jonesboro, AR 72401-3108 | 2019-09-16 |
1922560044 | Diet To Lifestyle LLC | Dietitian, Registered | 560 Highway 138 W, Jonesboro, GA 30238-2222 | 2019-04-06 |
1891230173 | Briana Reynolds | Dietitian, Registered | 225 E Jackson Ave, Jonesboro, AR 72401-3119 | 2016-12-22 |
1558714063 | Amanda Heringer | Dietitian, Registered | 1416 E Matthews Ave, St. Bernards Health and Wellness, Jonesboro, AR 72401-4362 | 2016-07-20 |
1255765459 | Patricia Cronin Abraham | Dietitian, Registered | 311 S Church St, Suite C, Jonesboro, AR 72401-2913 | 2013-08-25 |
1841638954 | Stacey Mccarroll | Dietitian, Registered | 1801 Grant Ave, Jonesboro, AR 72401-6155 | 2013-06-11 |
Find all providers in JONESBORO |
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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.