MRS. NICHOLE RENE' JOHNSON (NPI# 1639266414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639266414 |
| Entity Type | Individual |
| Full Name | MRS. NICHOLE RENE' JOHNSON |
| Credential | RD/LD |
| Practice Address |
2 E. Main Street Shawnee OK 74801 |
| Practice Telephone | 4058266441 |
| Practice Fax Number | 4058780162 |
| Mailing Telephone | 4058266441 |
| Mailing Fax Number | 4058780162 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD 873 | OK | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720437411 | Nichole Johnson | Nurse Practitioner | 2200 Childrens Way # Way7, Nashville, TN 37232-0005 | 2016-06-03 |
| 1962789578 | Nichole Marie Johnson | Doula | 1301 Spruce Ave, Longmont, CO 80501-5837 | 2011-11-10 |
| 1457515355 | Nichole Stachewicz Johnson | Dentist | 4206 E Lake Rd, Erie, PA 16511-1357 | 2008-07-10 |
| 1487826848 | Nichole Lushawn Johnson | Counselor | 351 Wagoner Dr Ste 310, Fayetteville, NC 28303-4674 | 2008-03-26 |
| 1730653395 | Nichole Johnson | Licensed Practical Nurse | 3622 Belmont Ave Ste 21, Youngstown, OH 44505-1444 | 2019-01-17 |
| 1548768401 | Nichole M Johnson | Counselor | 200 E 3rd St, Jamestown, NY 14701-5433 | 2018-01-25 |
| 1700304672 | Nichole Leshawn Johnson | Rehabilitation Practitioner | 555 Hospital Ln, Susanville, CA 96130-4808 | 2017-08-31 |
| 1790137834 | Nichole Johnson | Speech-Language Pathologist | 610 Lincoln St, Centerville, SD 57014-2040 | 2016-07-12 |
| 1528430485 | Nichole Johnson | Marriage & Family Therapist | 125 Corporate Pl, Vallejo, CA 94590-6968 | 2015-10-30 |
| 1699163253 | Nichole Johnson | Nurse Practitioner | 2400 W 49th St, Sioux Falls, SD 57105-6581 | 2015-01-06 |
| Street Address |
2 E. MAIN STREET |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
| 1518365287 | Melanie A. Croy | Counselor | 1605 N. Harrison, Shawnee, OK 74801 | 2014-12-12 |
| 1134532229 | Megan Malouf | Registered Nurse | 2307 Gordon Cooper Dr., Shawnee, OK 74801 | 2014-06-05 |
| 1063836609 | Daniel Antwain Shaw | Counselor | 605 S. Pottenger Ave, Shawnee, OK 74801 | 2014-02-18 |
| 1639514862 | Cheryl Jeannette Left Hand | Counselor | 101 N. Union, Shawnee, OK 74801 | 2013-05-01 |
| 1881948644 | Lena I Samilton | Counselor | 319 S. Kennedy Ave., Apt.112, Shawnee, OK 74801 | 2012-11-01 |
| 1235433681 | Jenifer Sloan | Case Manager/Care Coordinator | 2029 S. Gordon Cooper Dr., Shawnee, OK 74801 | 2010-12-28 |
| 1295854958 | Jack C Luman | Dentist | 1410 N Harrison St, Shawnee, OK 74801 | 2007-03-27 |
| 1942375274 | M Gerald Ball | Psychologist | 819 North Kickapoo, Shawnee, OK 74801 | 2006-11-21 |
| 1205912573 | Regina Steciak Tanner | Physical Therapist | 909 N Kickapoo, Shawnee, OK 74801 | 2006-10-31 |
| Find all providers in zip 74801 | ||||
| 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 |
|---|---|---|---|---|
| 1255772059 | Laura E Hernandez | Dietitian, Registered | 7100 Aminda Dr, Shawnee, KS 66227-2116 | 2013-07-10 |
| 1568695401 | Judy Ann Wegman | Dietitian, Registered | 18601 Midland Drive, Shawnee, KS 66218 | 2009-08-26 |
| 1164686655 | Carrye Luree Wells | Dietitian, Registered | 804 E Georgia St, Shawnee, OK 74804-3039 | 2008-07-14 |
| 1407322860 | Taylor Conrad | Dietitian, Registered | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2018-10-23 |
| 1942795448 | Magdelon Gilbert | Dietitian, Registered | 2345 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2018-06-27 |
| 1558727602 | Morgan Blackstock | Dietitian, Registered | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2016-01-05 |
| 1255709580 | Madison Dahl | Dietitian, Registered | 7405 Renner Rd, Shawnee, KS 66217-9414 | 2015-09-03 |
| 1053745646 | Torie Ann Fuller | Dietitian, Registered | 2307 Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2013-08-30 |
| 1568802098 | Jennifer Laura Wade | Dietitian, Registered | 13550 W 63rd St, Shawnee, KS 66216-3814 | 2013-06-28 |
| 1073958955 | Nicole Gwen Joyner | Dietitian, Registered | 13550 W 63rd St, Hy-vee, Inc., Shawnee, KS 66216-3814 | 2013-05-06 |
| Find all providers in SHAWNEE | ||||
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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.