| Riley Benjamin Johnson, RD | |
|
269 S Candy Ln, Cottonwood, AZ 86326-4158 | |
| (928) 639-6557 | |
| (928) 639-6340 |
| Full Name | Riley Benjamin Johnson |
|---|---|
| Gender | Male |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 5 Years |
| Location | 269 S Candy Ln, Cottonwood, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306463740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86152158 (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carolina Nephrology Pa | 2961467733 | 34 |
| Provider Name | Carolina Nephrology Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679557516 PECOS PAC ID: 2961467733 Enrollment ID: O20041122000627 |
| Mailing Address | Practice Location Address |
|---|---|
| Riley Benjamin Johnson, RD 269 S Candy Ln, Cottonwood, AZ 86326-4158 Ph: (928) 639-6557 | Riley Benjamin Johnson, RD 269 S Candy Ln, Cottonwood, AZ 86326-4158 Ph: (928) 639-6557 |
Lisa Hill, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 269 S. Candy Lane, Cottonwood, AZ 86326 Phone: 928-639-6543 Fax: 928-639-6340 | |
Donna M Lucas, R.D,L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6543 Fax: 928-639-6340 | |
Najva Sadeghi, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6575 Fax: 928-639-6340 | |
Ms. Tamara Jean Nisly, REGISTERED DIETICIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10 S 6th St, Cottonwood, AZ 86326 Phone: 928-639-8130 Fax: 928-639-8179 | |
Kim Marie Reed, RD, IBCLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 269 S. Candy Lane, Cottonwood, AZ 86326 Phone: 928-639-6557 | |
Suzanne Maestas, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 269 S Candy Ln, Cottonwood, AZ 86326 Phone: 928-639-6557 |