Casey M Johnson, RDN, LD
Dietitian, Registered in Sioux City, IA. Individual provider (NPI-1).
NPI number1689348682
StatusActive
Last updated in NPPESAug 3, 2021
Details
- NPI
- 1689348682
- Entity type
- Individual (NPI-1)
- Name
- Casey M Johnson
- Credential
- RDN, LD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2021
- Certification date
- Aug 3, 2021
- Last updated
- Aug 3, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 098319 | IA | Yes |
Practice location
801 5th StSioux City, IA 51101-1326
Phone 712-279-2243
Mailing address
801 5th StSioux City, IA 51101-1326
Phone 712-279-2243
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 16 Registered Dietitian providers in Sioux City · All 1,973 providers in Sioux City
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