CARLY MORGAN JOHNSON (NPI# 1699177170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699177170 |
| Entity Type | Individual |
| Full Name | CARLY MORGAN JOHNSON |
| Credential | R.D. |
| Practice Address |
1045 N State Highway 121 Mt Zion IL 62549-1219 |
| Practice Telephone | 2178642084 |
| Practice Fax Number | 2178642324 |
| Mailing Telephone | 2178642084 |
| Mailing Fax Number | 2178642324 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 164006295 | IL | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222798 | Carly M Johnson | Social Worker | 600 E 125th St Bldg 108, New York, NY 10035-6000 | 2019-06-03 |
| 1366055980 | Carly Johnson | Behavior Technician | 1701 Smith St, Orange Park, FL 32073-4820 | 2020-08-24 |
| 1790317329 | Carly Jean Johnson | Speech-Language Pathologist | 5202 Olympic Dr Ste 100, Gig Harbor, WA 98335-1727 | 2020-02-11 |
| 1316504731 | Carly Frazier Johnson | Counselor | 170 Brown Pl, Bronx, NY 10454-4140 | 2019-05-21 |
| 1275099681 | Carly A Johnson | Case Manager/Care Coordinator | 2621 Victory Pkwy, Cincinnati, OH 45206-1754 | 2019-02-11 |
| 1528545886 | Carly Johnson | Physical Therapy Assistant | 2560 Ne Hopkins Ct, Pullman, WA 99163-5622 | 2018-07-19 |
| 1033580550 | Carly Nicole Johnson | Nurse Practitioner | 6600 Madison St, New Port Richey, FL 34652-1971 | 2015-10-09 |
| 1861882896 | Carly Johnson | Behavioral Analyst | 4575 Se Dixie Hwy, Stuart, FL 34997-6826 | 2015-01-29 |
| 1235418120 | Carly Johnson | Counselor | 4371 E 72nd Ave, Commerce City, CO 80022-1471 | 2011-08-09 |
| Street Address |
1045 N STATE HIGHWAY 121 |
| City | MT ZION |
| State | IL |
| Zip Code | 62549-1219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447555685 | Physician's Choice Wellness | Health Educator | 1045 N State Highway 121, Mt Zion, IL 62549-1219 | 2011-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427209675 | Charles Howard Stone | Dentist | 108 Ashland Ave., Mt. Zion, IL 62549 | 2008-10-07 |
| 1730340498 | Jacob David Sams | Orthopaedic Surgery | 104 Ashland Ave., Mt. Zion, IL 62549 | 2008-06-24 |
| 1154511517 | Donald Nicholas Sullivan | Orthopaedic Surgery | 104 Ashland, Mt Zion, IL 62549 | 2007-07-31 |
| 1417169681 | Temmen Advanced Eye Care LLC | Optometrist | 1505 W Main, Mt Zion, IL 62549 | 2007-05-03 |
| 1124160247 | Peter L Paulson | Dentist | 1465 East Village Parkway, Mount Zion, IL 62549 | 2007-02-13 |
| 1568563666 | Russell John Proesel | Dentist | 420 Broadway, Mt Zion, IL 62549 | 2006-09-25 |
| 1497789572 | Dennis Ryan Vaughn | Podiatrist | 1640 North State Highway 121, Mt. Zion, IL 62549 | 2006-07-11 |
| 1831605096 | International Eyecare Center Inc | Eyewear Supplier (Equipment, not the service) | 1505 W Main St, Mt Zion, IL 62549 | 2017-12-22 |
| 1336586114 | Decatur Orthopedic Center, LLC | Orthopaedic Surgery | 104 Ashland Ave., Mt. Zion, IL 62549 | 2013-06-03 |
| 1336284736 | Timothy Delbert Busey | Optometrist | 1505 W Main St, Mt Zion, IL 62549 | 2007-02-21 |
| Find all providers in zip 62549 | ||||
| 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 |
|---|---|---|---|---|
| 1265860274 | Ashley Suzannah Bradshaw | Dietitian, Registered | 1045 N Hwy 121, Mt Zion, IL 62549-1219 | 2013-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366726 | Frankie O'brien | Dietitian, Registered | 2551 N Clark St Ste 400, Chicago, IL 60614-7725 | 2020-11-04 |
| 1841891207 | Elizabeth Kristin Julius | Dietitian, Registered | 833 W Buena Ave Apt 1901, Chicago, IL 60613-6634 | 2020-11-03 |
| 1417556747 | Jamie Anne Mayhew | Dietitian, Registered | 2917 W 99th Pl, Evergreen Park, IL 60805-2641 | 2020-10-19 |
| 1033716345 | Efthemia Greco | Dietitian, Registered | 9654 Kelley Ln, Huntley, IL 60142-0058 | 2020-10-08 |
| 1679170203 | Lotus Therapy Group Inc | Dietitian, Registered | 112 Kansas St, Frankfort, IL 60423-1447 | 2020-10-06 |
| 1447857065 | Tran Huynh | Dietitian, Registered | 6126 N Rockwell St Apt 3, Chicago, IL 60659-2859 | 2020-10-06 |
| 1033716113 | Ulani Villanueva | Dietitian, Registered | 470 Pfingsten Road, Northbrook, IL 60062-2506 | 2020-10-02 |
| 1780281873 | Alyssa Marie Post | Dietitian, Registered | 3512 Rollingridge Rd, Naperville, IL 60564-8298 | 2020-10-02 |
| 1285231324 | Megan Rhodes | Dietitian, Registered | 539 Willowcreek Ct, Clarendon Hills, IL 60514-1693 | 2020-10-01 |
| 1508473711 | Susan Faith Madnek-oxman | Dietitian, Registered | 1051 Wade St, Highland Park, IL 60035-4153 | 2020-09-30 |
| Find all providers with the same taxonomy | ||||
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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.