MISS BREEA COREN JOHNSON R.D., L.D.N - NPI 1053644989 - Dietitian, Registered in Chicago, IL

Q: What is Breea Johnson's NPI number?

The NPI number for Breea Johnson is 1053644989. It was assigned to this individual provider in the NPPES registry on September 10, 2009.

Q: What is Breea Johnson's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Breea Johnson was last updated on September 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Miss Breea Coren Johnson R.d., L.d.n NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS BREEA COREN JOHNSON R.D., L.D.N (NPI 1053644989) is an individual dietitian, registered in Chicago, Illinois, licensed in Illinois (164.005123) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1053644989

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMISS BREEA COREN JOHNSONCredential: R.D., L.D.N

Location Address2409 N CLYBOURN AVEChicago, IL 60614-6185

Mailing Address2409 N Clybourn AveChicago, IL 60614-6185 · (773) 447-5269 · Fax (866) 611-5750

Phone(773) 447-5269

Fax(866) 611-5750

Sole ProprietorYes

Enumeration DateSeptember 10, 2009

✔ NPI 1053644989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in IL · 164.005123

Definition

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 purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

2409 N CLYBOURN AVE, Chicago, IL 60614

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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE KLEES

Community Health Worker