JORDAN NICHOLE JOHNSON RDN, LD
NPI 1164141446
Dietitian, Registered in Conway, AR

Q: What is Jordan Johnson's NPI number?

The NPI number for Jordan Johnson is 1164141446. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Q: What is Jordan 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 Jordan Johnson was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 22, 2022

2302 COLLEGE AVE, CONWAY, AR 72034(501) 932-3236 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 6, 2024, Aug 22, 2022 (2 updates tracked since 2022).

On this page

About Jordan Nichole Johnson Rdn, Ld NPPES

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

JORDAN NICHOLE JOHNSON RDN, LD (NPI 1164141446) is an individual dietitian, registered in Conway, Arkansas, licensed in Arkansas (2276) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1164141446

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameJORDAN NICHOLE JOHNSONCredential: RDN, LD

Location Address2302 COLLEGE AVEConway, AR 72034-6297

Mailing Address2302 College AveConway, AR 72034-6297 · (501) 932-3236

Phone(501) 932-3236

Sole ProprietorNo

Enumeration DateAugust 22, 2022

Last NPPES UpdateFebruary 6, 20242 updates tracked since enumeration

NPPES CertifiedOctober 25, 2023

✔ NPI 1164141446 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 AR · 2276

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.

2302 COLLEGE AVE, Conway, AR 72034

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

KRISTINA ERBACH PHARM.D.

Pharmacist