| Miss Quena Shantiece Johnson, RD/LD | |
|
397 Madison Ave Apt 201, Memphis, TN 38103-3411 | |
| (901) 314-8971 | |
| Not Available |
| Full Name | Miss Quena Shantiece Johnson |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 4 Years |
| Location | 397 Madison Ave Apt 201, Memphis, Tennessee |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356133888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 4484 (Tennessee) | Primary |
| 133V00000X | Dietitian, Registered | 3175 (Oklahoma) | Secondary |
| Provider Name | Central Oklahoma American Indian Health Council, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407969728 PECOS PAC ID: 3476617374 Enrollment ID: O20090901000440 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Quena Shantiece Johnson, RD/LD 397 Madison Ave Apt 201, Memphis, TN 38103-3411 Ph: (901) 314-8971 | Miss Quena Shantiece Johnson, RD/LD 397 Madison Ave Apt 201, Memphis, TN 38103-3411 Ph: (901) 314-8971 |
Ashley Ludlow, MS, RDN, CSG, FAND Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4888 Southern Ave, Memphis, TN 38117 Phone: 901-233-6069 | |
Megan Talley, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 877 Jefferson Ave, Memphis, TN 38103 Phone: 901-545-7753 | |
Christopher Allen Branner, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1617 Cranford Rd, Memphis, TN 38117 Phone: 615-481-3061 | |
Mrs. Amanda Ellen Helton, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 848 Adams Ave, Memphis, TN 38103 Phone: 901-287-6140 Fax: 901-287-5123 | |
Ms. Samantha Christine Pass, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6225 Humphreys Blvd, Memphis, TN 38120 Phone: 901-227-9023 | |
Lindsey Tira Lee, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 848 Adams Ave, Memphis, TN 38103 Phone: 901-287-5074 Fax: 901-287-5123 | |
Anna Tuttle, MS, RD, LDN, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 50 N Dunlap St Fl 1, Memphis, TN 38103 Phone: 901-287-6853 |