Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366686289 Individual Practitioner Female Practitioner

Roxanne Marie Johnson , RD

Dietitian, Registered • Bemidji, MN

Professional Overview & Biography Verified Profile Summary

Roxanne Johnson, RD is a registered healthcare professional specializing in Dietitian, Registered in Bemidji, MN. Practice services are available at 802 PAUL BUNYAN DR S STE 12&13 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

802 Paul Bunyan Dr S Ste 12&13

Bemidji, MN 566013201

Telephone 2184444323
Fax 2184447514
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Bemidji, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Bemidji, MN (1611 Statewide)

Telehealth Adoption Rate
0.0% 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: 2023-07-24
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License MN 2372

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Licensure
2372 (MN)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Natalie Nicholson , NP

Nurse Practitioner

NPI 1962634691

Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 24, 2023

Registered at 802 PAUL BUNYAN DR S STE 12&13, BEMIDJI, MN 566013201 (Tel: 2184444323)

📍
Updated Business Mailing Address July 24, 2023

Registered at 802 PAUL BUNYAN DR S STE 12&13, BEMIDJI, MN 566013201 (Tel: 2184070210)

NPI Profile Active December 06, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 06, 2013

Registered at 701 PARK AVE, MINNEAPOLIS, MN 55415 (Tel: 6128732675)

📍
Updated Business Mailing Address December 06, 2013

Registered at 7439 PARK AVE SOUTH, MINNEAPOLIS, MN 55423 (Tel: 2184070210)

👤
Provider Name / Credentials Updated December 06, 2013

Recorded as ROXANNE JOHNSON, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2013

Dietitian, Registered (License #2372 in MN)

🟢
Initial NPI Registration & Enumeration April 22, 2009

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: 1366686289
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 22, 2009
Last Update: July 24, 2023
Sole Proprietor: No

Mailing Address

802 Paul Bunyan Dr S Ste 12&13

Bemidji, MN 566013201

Phone: 2184070210

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.