Shelby K Johnson, LRD is a
Dietitian, Registered based in Graceville, Minnesota. Shelby K Johnson is licensed to practice in Minnesota (license number 3438) and her current practice location is
115 W 2nd St, Graceville, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(320) 748-7243.
NPI number for Shelby K Johnson is 1558884304 and her current mailing address is Po Box 6001, Fargo, North Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558884304.
Healthcare Provider's Profile
Full Name | Shelby K Johnson |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 115 W 2nd St, Graceville, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558884304
- Provider Enumeration Date: 07/24/2017
- Last Update Date: 07/24/2017
Medical Identifiers
Medical identifiers for Shelby K Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558884304 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 3438 (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. Shelby K 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 |
Shelby K Johnson, LRD Po Box 6001, Fargo, ND 58108-6001 Ph: (701) 364-8000 | Shelby K Johnson, LRD 115 W 2nd St, Graceville, MN 56240-4845 Ph: (320) 748-7243 |
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