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Active NPI 1407249279 Individual Practitioner Female Practitioner

Terra Rachelle Johnson , MS, RDN, IBCLC

Dietitian, Registered • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Terra Johnson, MS, RDN, IBCLC is a registered healthcare professional specializing in Dietitian, Registered in Phoenix, AZ. Practice services are available at 3830 E VAN BUREN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3830 E Van Buren St

Phoenix, AZ 850086920

Telephone 6023233344
Fax 6023233496
Associated Practice Facility / Clinic
🏢 Mountain Park Health Center Facility NPI 1386741668

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.4 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
417 Specialists

Practicing in Phoenix, AZ (1452 Statewide)

Telehealth Adoption Rate
3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-30
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License AZ 86277803

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.

Lactation Consultant, Non-RN

NUCC Taxonomy Code: 174N00000X

State License AZ L-56576

An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Dr. Chijioke Soribe , MD

Obstetrics & Gynecology

NPI 1033392113

Doctor of Medicine (M.D.)

Annabella Ankeney , RDN

Dietitian, Registered

NPI 1083300859

Registered Dietitian Nutritionist

Samantha Armes , LCSW

Social Worker - Clinical

NPI 1114795507

Licensed Clinical Social Worker

NPI 1124855952

Doctor of Pharmacy (Pharm.D.)

NPI 1194448191

REGISTEREDDIETITIAN

Dr. Melissa Vodicka , DNP, APRN, CPNP

Nurse Practitioner - Pediatrics

NPI 1245841436

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 30, 2024

Registered at 3830 E VAN BUREN ST, PHOENIX, AZ 850086920 (Tel: 6023233344)

📍
Updated Business Mailing Address October 30, 2024

Registered at 3003 N CENTRAL AVE STE 1600, PHOENIX, AZ 850122908 (Tel: 6023233344)

👤
Provider Name / Credentials Updated October 30, 2024

Recorded as TERRA JOHNSON, MS, RDN, IBCLC

NPI Profile Active March 18, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 18, 2015

Registered at 3100 W RAY RD STE 201, CHANDLER, AZ 852262472 (Tel: 4802075955)

📍
Updated Business Mailing Address March 18, 2015

Registered at 3100 W RAY RD STE 201, CHANDLER, AZ 852262472 (Tel: 4802075955)

👤
Provider Name / Credentials Updated March 18, 2015

Recorded as TERRA JOHNSON, IBCLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2015

Lactation Consultant, Non-RN (License #L-56576 in AZ)

🟢
Initial NPI Registration & Enumeration March 18, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407249279
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2015
Last Update: October 30, 2024
Sole Proprietor: Yes

Mailing Address

3003 N Central Ave Ste 1600

Phoenix, AZ 850122908

Phone: 6023233344

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.