TERRA RACHELLE JOHNSON MS, RDN, IBCLC
NPI 1407249279
Dietitian, Registered in Phoenix, AZ

Q: What is Terra Johnson's NPI number?

The NPI number for Terra Johnson is 1407249279. It was assigned to this individual provider in the NPPES registry on March 18, 2015.

Q: What is Terra 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 Terra Johnson was last updated on October 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 18, 2015

3830 E VAN BUREN ST, PHOENIX, AZ 85008(602) 323-3344(602) 323-3496 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Terra Rachelle Johnson Ms, Rdn, Ibclc NPPES

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

TERRA RACHELLE JOHNSON MS, RDN, IBCLC (NPI 1407249279) is an individual dietitian, registered in Phoenix, Arizona, licensed in Arizona (86277803) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1407249279

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameTERRA RACHELLE JOHNSONCredential: MS, RDN, IBCLC

Location Address3830 E VAN BUREN STPhoenix, AZ 85008-6920

Mailing Address3003 N Central Ave Ste 1600Phoenix, AZ 85012-2908 · (602) 323-3344 · Fax (602) 323-3496

Phone(602) 323-3344

Fax(602) 323-3496

Sole ProprietorYes

Enumeration DateMarch 18, 2015

Last NPPES UpdateOctober 30, 2024

NPPES CertifiedOctober 30, 2024

✔ NPI 1407249279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in AZ · 86277803

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.

Also ListedLactation Consultant, Non-RNTaxonomy 174N00000X · License L-56576 (AZ)

3830 E VAN BUREN ST, Phoenix, AZ 85008

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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.

SOBHA KRISHNAKUMAR MSN FNP-C

Nurse Practitioner (Primary Care)