Mrs. Gwen G Johnson, RD, LD
Dietitian, Registered in Pepperell, Massachusetts
1245823434- Practice location
- 25 Ashley St, Pepperell, MA 01463-4206
- Phone
- 978-257-3962
- Fax
- —
- Last updated
- February 18, 2021
Gwen Gloria Johnson is a Dietitian, Registered based in Pepperell, MA. Gwen Gloria Johnson practices in Pepperell, MA and has the professional credentials of RD, LD. The NPI Number for Gwen Gloria Johnson is 1245823434 and holds a License No. 77 (MA). The current practice location address for Gwen Gloria Johnson is 25 Ashley St, Pepperell, MA 01463-4206 and can be reached out via phone at 978-257-3962.
Provider Profile Details
- NPI Number
- 1245823434
- Provider Name
- Gwen Gloria Johnson
- Credential
- RD, LD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 25 Ashley St, Pepperell, MA 01463-4206
- Phone Number
- 978-257-3962
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 18, 2021
- Last Update Date
- February 18, 2021
- Certification Date
- February 18, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Ashley St
Pepperell, MA 01463-4206 - City
- Pepperell
- State
- Massachusetts
- Zip
- 01463-4206
- Phone Number
- 978-257-3962
Provider Business Mailing Address Details
- Address
- 25 Ashley St
Pepperell, MA 01463-4206 - City
- Pepperell
- State
- MA
- Zip
- 01463-4206
- Phone Number
- 978-257-3962
License Information
- License Number
- 77
- License State
- MA
- Taxonomy
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Gwen G Johnson, RD, LD?
The NPI number of Mrs. Gwen G Johnson, RD, LD is 1245823434. It was assigned on February 18, 2021 and is currently active in the NPPES registry.
What is the specialty of Mrs. Gwen G Johnson, RD, LD?
Mrs. Gwen G Johnson, RD, LD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 77.
Where does Mrs. Gwen G Johnson, RD, LD practice?
The practice location is 25 Ashley St, Pepperell, MA 01463-4206. The office can be reached at 978-257-3962 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245823434 directly on the NPPES registry website.