Emily Keith Johnson, RD is a
Dietitian, Registered based in Lake Village, Arkansas. Emily Keith Johnson is licensed to practice in Arkansas (license number 1630) and her current practice location is
4769 E Highway 82, Lake Village, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(662) 822-0318.
NPI number for Emily Keith Johnson is 1609614965 and her current mailing address is 4769 E Highway 82, Lake Village, Arkansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609614965.
Healthcare Provider's Profile
| Full Name | Emily Keith Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 4769 E Highway 82, Lake Village, Arkansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609614965
- Provider Enumeration Date: 07/19/2024
- Last Update Date: 07/19/2024
Medical Identifiers
Medical identifiers for Emily Keith Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1609614965 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 1519 (Mississippi) | Secondary |
| 133V00000X | Dietitian, Registered | 1630 (Arkansas) | 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. Emily Keith Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Emily Keith Johnson, RD 4769 E Highway 82, Lake Village, AR 71653-6065 Ph: Not Available | Emily Keith Johnson, RD 4769 E Highway 82, Lake Village, AR 71653-6065 Ph: (662) 822-0318 |
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