Kelsey Kay Johnson, RDN, LMCHA, CEDS, CD is a medicare enrolled "Dietitian, Registered" provider in Puyallup, Washington. Her current practice location is
413 29th St Ne Ste F, Puyallup, Washington. You can reach out to her office (for appointments etc.) via phone at
(253) 234-7931.
Kelsey Kay Johnson is licensed to practice in Washington (license number 60408150) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083022354.
Healthcare Provider's Profile
Full Name | Kelsey Kay Johnson |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 413 29th St Ne Ste F, Puyallup, Washington |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kelsey Kay Johnson attended and graduated from in
NPI Data:
- NPI Number: 1083022354
- Provider Enumeration Date: 07/30/2014
- Last Update Date: 12/20/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kelsey Kay Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083022354 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | MC61605096 (Washington) | Secondary |
133V00000X | Dietitian, Registered | 86007053 (* (Not Available)) | Secondary |
133V00000X | Dietitian, Registered | 60408150 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelsey Kay Johnson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelsey Kay Johnson, RDN, LMCHA, CEDS, CD 413 29th St Ne Ste F, Puyallup, WA 98372-7050 Ph: (253) 234-7931 | Kelsey Kay Johnson, RDN, LMCHA, CEDS, CD 413 29th St Ne Ste F, Puyallup, WA 98372-7050 Ph: (253) 234-7931 |
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