Individual provider · Type 1 NPI

Keiley Shae Johnson, RD

Gerontological Nutrition Registered Dietitian · Fargo, ND

NPI number 1013781814 Active

Practice location

2970 Brandt Dr S Apt 214
Fargo, ND 58104-9078

Specialties and licenses

TaxonomyCodeLicense
Sports Dietetics Nutrition Registered Dietitian 133VN1501X1245 (ND)
Gerontological Nutrition Registered Dietitian Primary 133VN1101X1245 (ND)

Gerontological Nutrition Registered Dietitian: An individual who is a Specialist in Gerontological Nutrition and provides nutrition care to promote quality of life and optimal health for older adults across the continuum of care, including: acute care, post-acute care, primary care, long-term care, assisted living, home care, palliative care, community-based nutrition, food service, correctional facilities, and government programs. RDN who works indirectly with …

About NPI 1013781814

Keiley Shae Johnson, RD's National Provider Identifier is 1013781814, issued on Nov 13, 2023. The primary taxonomy on file is Gerontological Nutrition Registered Dietitian (133VN1101X), and the practice location is in Fargo, ND. The record was last updated on Nov 13, 2023.