Kourtney J Johnson, RD, LD is a
Dietitian, Registered based in Rosemount, Minnesota. Kourtney J Johnson is licensed to practice in Minnesota (license number 4158) and her current practice location is
3962 143rd St W, Rosemount, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 214-1635.
NPI number for Kourtney J Johnson is 1740882158 and her current mailing address is 3962 143rd St W, Rosemount, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1740882158.
Healthcare Provider's Profile
Full Name | Kourtney J Johnson |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 3962 143rd St W, Rosemount, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740882158
- Provider Enumeration Date: 11/10/2020
- Last Update Date: 11/10/2020
Medical Identifiers
Medical identifiers for Kourtney J Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740882158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 4158 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kourtney J Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kourtney J Johnson, RD, LD 3962 143rd St W, Rosemount, MN 55068-4060 Ph: (612) 214-1635 | Kourtney J Johnson, RD, LD 3962 143rd St W, Rosemount, MN 55068-4060 Ph: (612) 214-1635 |
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