Marissa Johnson, MS, RDN, LDN
Dietitian, Registered in Roslindale, Massachusetts
1356075360- Practice location
- 65 Cornell St, Roslindale, MA 02131-4525
- Phone
- 781-204-0003
- Fax
- —
- Last updated
- August 12, 2025
Marissa Johnson is a Dietitian, Registered based in Roslindale, MA. Marissa Johnson practices in Roslindale, MA and has the professional credentials of MS, RDN, LDN. The NPI Number for Marissa Johnson is 1356075360 and holds a License No. 5664 (MA). The current practice location address for Marissa Johnson is 65 Cornell St, Roslindale, MA 02131-4525 and can be reached out via phone at 781-204-0003.
Provider Profile Details
- NPI Number
- 1356075360
- Provider Name
- Marissa Johnson
- Credential
- MS, RDN, LDN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 65 Cornell St, Roslindale, MA 02131-4525
- Phone Number
- 781-204-0003
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 14, 2022
- Last Update Date
- August 12, 2025
- Certification Date
- August 12, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 65 Cornell St
Roslindale, MA 02131-4525 - City
- Roslindale
- State
- Massachusetts
- Zip
- 02131-4525
- Phone Number
- 781-204-0003
Provider Business Mailing Address Details
- Address
- 65 Cornell St
Roslindale, MA 02131-4525 - City
- Roslindale
- State
- MA
- Zip
- 02131-4525
License Information
- License Number (1)
- 5664
- License State (1)
- MA
- Taxonomy (1)
- Dietitian, Registered · 133V00000X
- License Number (2)
- DI1931
- License State (2)
- ME
- Taxonomy (2)
- Dietitian, Registered · 133V00000X
- License Number (3)
- 074.0134534
- License State (3)
- VT
- Taxonomy (3)
- Dietitian, Registered · 133V00000X
- License Number (4)
- 1337
- License State (4)
- NH
- Taxonomy (4)
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dietitian, Registered providers near Roslindale, MA
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- Andrea Hurwitz, MS, RD, LDNDietitian, Registered · NPI 1023777265
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- Deborah L Krieg, RDDietitian, Registered · NPI 1295933356
- Erin O'Connell, RDDietitian, Registered · NPI 1407578776
- Heidi Mcindoo, RDDietitian, Registered · NPI 1265401442
Frequently Asked Questions
What is the NPI number of Marissa Johnson, MS, RDN, LDN?
The NPI number of Marissa Johnson, MS, RDN, LDN is 1356075360. It was assigned on July 14, 2022 and is currently active in the NPPES registry.
What is the specialty of Marissa Johnson, MS, RDN, LDN?
Marissa Johnson, MS, RDN, LDN is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 5664.
Where does Marissa Johnson, MS, RDN, LDN practice?
The practice location is 65 Cornell St, Roslindale, MA 02131-4525. The office can be reached at 781-204-0003 (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 1356075360 directly on the NPPES registry website.