MR. JEREMIAH EDWIN JOHNSON R.D. MPH
NPI 1558386979
Dietitian, Registered in Cannon Afb, NM

NPI Status: Active since July 13, 2006

Contact Information

208 W CASABLANCA AVE
27 SOMDG/SGPM
CANNON AFB, NM
ZIP 88103
Phone: (575) 784-2843

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  • Individual
  • Male
  • Dietitian, Registered

About JEREMIAH JOHNSON

This page provides the complete NPI Profile along with additional information for Jeremiah Johnson, a provider established in Cannon Afb, New Mexico with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1558386979 assigned on July 2006. The practitioner's primary taxonomy code is 133V00000X. The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1558386979
Provider Name
MR. JEREMIAH EDWIN JOHNSON R.D. MPH
Gender
Male
Entity Type
Individual
Location Address
208 W CASABLANCA AVE 27 SOMDG/SGPM CANNON AFB, NM 88103
Location Phone
(575) 784-2843
Mailing Address
208 W CASABLANCA AVE 27 SOMDG/SGPM CANNON AFB, NM 88103
Mailing Phone
(575) 784-2843
Is Sole Proprietor?
No
Enumeration Date
07-13-2006
Last Update Date
01-23-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dietitian, Registered

Taxonomy Code
133V00000X
Type
Dietary & Nutritional Service Providers
Taxonomy Description
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1558386979
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251086812914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 0 + 8 + 6 + 8 + 1 + 2 + 9 + 1 + 4 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1558386979 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619964947 ROSEANNE CAROL WARNER NP
Individual
Nurse Practitioner (Women's Health)208 W CASABLANCA AVE 27 MEDICAL GROUP BLDG 1400 CANNON AFB
CLOVIS, NM 88103
(505) 784-6608
1043208838MS. MARLA DIANNE BUCKLES FNP
Individual
Nurse Practitioner (Family)208 W CASABLANCA AVE 27 MEDICAL GROUP BLDG 1400 CANNON AFB
CLOVIS, NM 88103
(505) 784-6608
1851372858 ROBERT DALE BITNER PA
Individual
Physician Assistant208 W CASABLANCA AVE BLDG 1400 CANNON AFB 27 MEDICAL GROUP
CLOVIS, NM 88103
(505) 784-6608
128560638427TH MEDICAL GROUP
Organization
Clinic/Center (Military/U.S. Coast Guard Outpatient)208 W CASABLANCA AVE 27 MDSS SGSR
CANNON AFB, NM 88103
(505) 784-4023
1609914431DR. DAVID A SARNOW M.D., MPH
Individual
Preventive Medicine (Aerospace Medicine)208 W CASABLANCA AVE 27 SOMDG/FLIGHT MEDICINE, BLDG 1400
CANNON AFB, NM 88103
(575) 784-7801
1154504587DR. THIEN H NGUYEN PHARM.D.
Individual
Pharmacist208 W CASABLANCA AVE
CANNON AFB, NM 88103
(575) 784-4028
1639313125MR. ANDREW SPRINGSTEAD
Individual
Military Health Care Provider (Independent Duty Medical Technicians)208 W CASABLANCA AVE 27SOMDG
CANNON AFB, NM 88103
(575) 784-7516
1366686842MR. STEVEN BRANDON YATES IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)208 W CASABLANCA AVE
CANNON AFB, NM 88103
(575) 784-7801
1245474667 DANIEL LEWIS TYSON IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)208 W CASABLANCA AVE
CLOVIS, NM 88103
(575) 784-7801
1295093912 DESIREE ANDERSON IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)208 W CASABLANCA AVE
CANNON AFB, NM 88103
(850) 217-8587
1801132220 DENA LEVARI IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)208 W CASABLANCA AVE
CLOVIS, NM 88103
(575) 791-9712
1912139668 JESSICA MARIE POTHAST PHARMD
Individual
Pharmacist208 W CASABLANCA AVE
CANNON AFB, NM 88103
(575) 784-4028
1083844054 LINDSAY VINCENT IDMT
Individual
Military Health Care Provider (Independent Duty Medical Technicians)208 W CASABLANCA AVE 27 SOMDG
CANNON AFB, NM 88103
(575) 784-0287
1861902041MRS. KATHERINE ANN CRAFT RD, LD
Individual
Dietitian, Registered208 W CASABLANCA AVE
CLOVIS, NM 88103
(913) 208-0508
1306228325DR. KATHERINE MILAM D.O.
Individual
Family Medicine208 W CASABLANCA AVE
CANNON AFB, NM 88103
(575) 904-3806
1104071729MR. DONALD JOSEPH TRIGG PA-C
Individual
Physician Assistant208 W CASABLANCA AVE 100
CANNON AFB, NM 88103
(575) 784-7801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558386979, enumerated in the NPI registry as an "individual" on July 13, 2006

The provider is located at 208 W Casablanca Ave 27 Somdg/sgpm Cannon Afb, Nm 88103 and the phone number is (575) 784-2843

The provider's speciality is Dietitian, Registered with taxonomy code 133V00000X

This NPI record was last updated on July 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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