Individual provider · NPI-1

Kaila E Johnson

Dietitian, Registered · Las Vegas, NV

NPI number1821456930
StatusActive
Last updated in NPPESFeb 10, 2023

Details

NPI
1821456930
Entity type
Individual (NPI-1)
Name
Kaila E Johnson
Sex
Female
Sole proprietor
No
Enumeration date
Feb 3, 2016
Certification date
Feb 10, 2023
Last updated
Feb 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered39024-DI-3NVYes
132700000X Dietary ManagerDI61188977WA
133V00000X Dietitian, RegisteredL006372NC
133V00000X Dietitian, Registered12529665-4901UT
133V00000X Dietitian, Registered86010388CA
133V00000X Dietitian, RegisteredND10310FL
133V00000X Dietitian, Registered269357KY
133V00000X Dietitian, Registered2021019201MO
133V00000X Dietitian, Registered10213181OR
133V00000X Dietitian, RegisteredDI61188977WA

Practice location

3041 E Flamingo Rd
Las Vegas, NV 89121-7446

Phone 239-284-3220

Mailing address

3041 E Flamingo Rd
Las Vegas, NV 89121-7446

Phone 239-284-3220

Other practice locations

240 N Broadway Ste 208
Portland, OR 97227-1881

Phone 503-664-9111

330 1st Capitol Dr Ste 240
Saint Charles, MO 63301-2846

Phone 314-900-1112 · Fax 888-920-1915

600 Anton Blvd Ste 1100
Costa Mesa, CA 92626-7100

Phone 720-204-5760

5100 Nw 33rd Ave Ste 245
Ft Lauderdale, FL 33309-6381

Phone 786-605-9055 · Fax 913-676-7358

160 N Eagle Creek Dr Ste 420
Lexington, KY 40509-2125

Phone 502-305-7614

3214 Charles B Root Wynd Ste 203
Raleigh, NC 27612-5440

Phone 919-877-6800

159 W Broadway Ste 200
Salt Lake City, UT 84101-1923

Phone 404-408-5442

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.

Other Dietitian, Registered providers in Las Vegas, NV