Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982005732 Individual Practitioner Female Practitioner

Cleanne Johnson , RD, CD

Dietitian, Registered • Pasco, WA

Professional Overview & Biography Verified Profile Summary

Cleanne Johnson, RD, CD is a registered healthcare professional specializing in Dietitian, Registered in Pasco, WA. Practice services are available at 520 N 4TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

520 N 4th Ave

Pasco, WA 993015257

Telephone 5095477704
Fax 5095423053
Associated Practice Facility / Clinic
🏢 Nuclear Medicine Services Facility NPI 1336133644

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Pasco, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
19 Specialists

Practicing in Pasco, WA (2154 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

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License WA DI60470392

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 Dietitian Certification
DI60470392 (WA)

Practice Associates & Co-Workers

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

27 Associated Practitioners
Dr. Ronald Davis , MD

Emergency Medicine

NPI 1003843269

Doctor of Medicine (M.D.)

Stefanie Davis , RD

Dietitian, Registered

NPI 1013045533

Registered Dietitian

Dr. Gerard Van Houdt , MD

Emergency Medicine

NPI 1043251556

Doctor of Medicine (M.D.)

Hector Gutierrez , PA-C

Physician Assistant

NPI 1043256233

Physician Assistant (Certified)

Taylor Schutzenhofer , RDN

Dietitian, Registered

NPI 1134858533

Registered Dietitian Nutritionist

Chris Bjornberg , PT

Physical Therapist

NPI 1245563337

Physical Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 11, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2014

Registered at 520 N 4TH AVE, PASCO, WA 993015257 (Tel: 5095477704)

📍
Updated Business Mailing Address September 11, 2014

Registered at 605 PRADERA CT, PASCO, WA 993014619 (Tel: 5095423052)

👤
Provider Name / Credentials Updated September 11, 2014

Recorded as CLEANNE JOHNSON, RD,CD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2014

Dietitian, Registered (License #DI60470392 in WA)

🟢
Initial NPI Registration & Enumeration September 11, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1982005732
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2014
Last Update: September 11, 2014
Sole Proprietor: Yes

Mailing Address

605 Pradera Ct

Pasco, WA 993014619

Phone: 5095423052

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.