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Keiley Shae Johnson, RD
Gerontological Nutrition Registered Dietitian in Fargo, North Dakota
NPI 1013781814

Keiley Shae Johnson is a Gerontological Nutrition Registered Dietitian based in Fargo, ND and is specialized in Nutrition, Gerontological. Keiley Shae Johnson practices in Fargo, ND and has the professional credentials of RD. The NPI Number for Keiley Shae Johnson is 1013781814 and holds a License No. 1245 (North Dakota).

The current practice location address for Keiley Shae Johnson is 2970 Brandt Dr S Apt 214, Fargo, ND and can be reached out via phone at 701-212-6207. You can also correspond with Keiley Shae Johnson through the mailing address at 2970 BRANDT DR S APT 214, FARGO, ND - 58104-9078 (mailing address contact number: 701-212-6207).

Location: 2970 Brandt Dr S Apt 214, Fargo, ND, 58104-9078
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013781814
Provider Name
Keiley Shae Johnson
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
2970 Brandt Dr S Apt 214, Fargo, ND, 58104-9078
Phone Number
701-212-6207
Fax Number
Provider Enumeration Date
11/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2970 Brandt Dr S Apt 214
City
Fargo
State
North Dakota
Zip
58104-9078
Phone Number
701-212-6207
Fax Number
person
Provider Business Mailing Address Details
Address
2970 Brandt Dr S Apt 214
City
Fargo
State
North Dakota
Zip
58104-9078
Phone Number
701-212-6207
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Gerontological
Taxonomy
133VN1101X
License No.
1245 (North Dakota)
Definition
An individual who is a Specialist in Gerontological Nutrition and provides nutrition care to promote quality of life and optimal health for older adults across the continuum of care, including: acute care, post-acute care, primary care, long-term care, assisted living, home care, palliative care, community-based nutrition, food service, correctional facilities, and government programs. RDN who works indirectly with gerontological nutrition through roles in management, industry, education, and research.
person
Provider's Taxonomy Details 2
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Sports Dietetics
Taxonomy
133VN1501X
License No.
1245 (North Dakota)
Definition
An individual who is a Board Certified Specialist in Sports Dietetics and applies evidence-based nutrition knowledge in exercise and sports. RDNs specializing in sports dietetics assess, educate, and counsel athletes and active individuals. They design, implement, and manage safe and effective nutrition strategies that enhance lifelong health, fitness, and optimal performance.
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