Individual provider · Type 1 NPI

Johanna Davenport, RDN

Registered Dietitian · Manchester, CT

NPI number 1063284917 Active

Practice location

105 Avery St
Manchester, CT 06042-1705

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X002335 (CT)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1063284917

Johanna Davenport, RDN's National Provider Identifier is 1063284917, issued on Oct 24, 2023. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Manchester, CT. The record was last updated on Oct 13, 2026.