Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407623481 Individual Practitioner Female Practitioner

Kerry Lynn Johnson , RDN

Dietitian, Registered • Fresno, CA

Professional Overview & Biography Verified Profile Summary

Kerry Johnson, RDN is a registered healthcare professional specializing in Dietitian, Registered in Fresno, CA. Practice services are available at 205 E RIVER PARK CIR STE 460 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

205 E River Park Cir Ste 460

Fresno, CA 937201585

Telephone 5592614500
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Fresno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.7 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
108 Specialists

Practicing in Fresno, CA (7235 Statewide)

Telehealth Adoption Rate
0.9% 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: 2023-12-08
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License CA 639580

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.

Practice Associates & Co-Workers

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

11 Associated Practitioners
NPI 1033295282

Doctor of Medicine (M.D.)

Dr. Wai Lee , MD

Colon & Rectal Surgery

NPI 1053334748

Doctor of Medicine (M.D.)

NPI 1073815767

Doctor of Medicine (M.D.)

Katherine Smith , CDE, NP

Nurse Practitioner

NPI 1083725428

Certified Diabetes Educator, Nurse Practitioner

Julie Carlock , RNFA

Registered Nurse - Registered Nurse First Assistant

NPI 1174910020
NPI 1265495139

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 08, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2023

Registered at 205 E RIVER PARK CIR STE 460, FRESNO, CA 937201585 (Tel: 5592614500)

📍
Updated Business Mailing Address December 08, 2023

Registered at 2727 W BLUFF AVE APT 112, FRESNO, CA 937117012 (Tel: 5599603157)

👤
Provider Name / Credentials Updated December 08, 2023

Recorded as KERRY JOHNSON, RDN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2023

Dietitian, Registered (License #639580 in CA)

🟢
Initial NPI Registration & Enumeration December 08, 2023

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: 1407623481
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 08, 2023
Last Update: December 08, 2023
Sole Proprietor: Yes

Mailing Address

2727 W Bluff Ave Apt 112

Fresno, CA 937117012

Phone: 5599603157

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.