Crystal J. Johnson, MS, RD, CDE, CD, LD

Registered Dietitian · Spokane, WA

Individual Active NPI

NPI number 1306839956

Practice location

11608 N Kathy Dr
Spokane, WA 99218-2725
Phone
(509) 869-2330

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NPI record

NPI
1306839956
Entity type
Individual (Type 1)
Enumeration date
August 30, 2005
Last updated
February 9, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X DI00001258 WA
Metabolic Nutrition Registered Dietitian 133VN1006X DX3074 MD

About Crystal Johnson

Crystal J. Johnson, MS, RD, CDE, CD, LD is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 11608 N Kathy Dr, Spokane, WA 99218-2725. The NPI number 1306839956 was assigned on August 30, 2005 and the record was last updated on February 9, 2011.

Crystal Johnson lists 2 licenses in the registry: #DI00001258 (WA) for Registered Dietitian; #DX3074 (MD) for Metabolic Nutrition Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Crystal J. Johnson, MS, RD, CDE, CD, LD?

The NPI number is 1306839956.

What is the phone number of Crystal Johnson?

The phone number listed for the practice location is (509) 869-2330.

Where is Crystal Johnson located?

11608 N Kathy Dr, Spokane, WA 99218-2725.

What is the taxonomy code for Crystal Johnson?

The primary taxonomy code is 133V00000X – Registered Dietitian; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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