Stephanie Johnson, RD, LD | |
1600 Breckenridge St, Owensboro, KY 42303-1055 | |
(270) 686-7744 | |
Not Available |
Full Name | Stephanie Johnson |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1600 Breckenridge St, Owensboro, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457780322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 123111 (Kentucky) | Primary |
133V00000X | Dietitian, Registered | 2574 (Kentucky) | Secondary |
Provider Name | Green River District Health Dept. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295895324 PECOS PAC ID: 5395642458 Enrollment ID: O20031217000043 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Johnson, RD, LD 1600 Breckenridge St, Owensboro, KY 42303-1055 Ph: (270) 686-7744 | Stephanie Johnson, RD, LD 1600 Breckenridge St, Owensboro, KY 42303-1055 Ph: (270) 686-7744 |
Elizabeth Guyer Cecil, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2401 New Hartford Rd, Owensboro, KY 42303 Phone: 270-688-5147 | |
Theresa Dollins, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 Breckenridge St, Owensboro, KY 42303 Phone: 270-686-7744 | |
Merritt Bates Thomas, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1501 Breckenridge St, Owensboro, KY 42303 Phone: 270-686-7747 Fax: 270-926-9862 | |
Patricia L Foster, REGISTERED DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1600 Breckenridge St, Owensboro, KY 42303 Phone: 270-686-7744 Fax: 270-926-8677 | |
Mary Tim Griffin, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1501 Breckenridge St, Owensboro, KY 42303 Phone: 270-686-7747 Fax: 270-926-9862 | |
Natalie Renee Keller, RDN, LD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1434 Hickory Ln, Owensboro, KY 42303 Phone: 270-925-1743 | |
Mrs. Rian B Sutherland, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3663 Kasinger Ln, Owensboro, KY 42303 Phone: 270-993-2187 |