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MR. JEREMIAH EDWIN JOHNSON R.D. MPH
NPI 1558386979
Dietitian, Registered in Cannon Afb, NM

Active since July 13, 2006
208 W CASABLANCA AVE, 27 SOMDG/SGPM, CANNON AFB, NM 88103(575) 784-2843 Get Directions Write a Review

NPPES record last updated: January 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jeremiah Edwin Johnson R.d. Mph NPPES

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

MR. JEREMIAH EDWIN JOHNSON R.D. MPH (NPI 1558386979) is an individual dietitian, registered in Cannon Afb, New Mexico and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1558386979
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameMR. JEREMIAH EDWIN JOHNSONCredential: R.D. MPH
Location Address208 W CASABLANCA AVE, 27 SOMDG/SGPMCannon Afb, NM 88103-5009
Mailing Address208 W Casablanca Ave, 27 Somdg/sgpmCannon Afb, NM 88103-5009 · (575) 784-2843
Phone(575) 784-2843
Sole ProprietorNo
Enumeration DateJuly 13, 2006
Last NPPES UpdateJanuary 23, 2013
✔ NPI 1558386979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.
208 W CASABLANCA AVE, Cannon Afb, NM 88103
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Other Providers at the Same Location NPPES 15

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

MS. MARLA DIANNE BUCKLES FNP
Nurse Practitioner (Family)
208 W CASABLANCA AVE, 27 MEDICAL GROUP BLDG 1400 CANNON AFB
CLOVIS, NM 88103
Curry County (505) 784-6608
LINDSAY VINCENT IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
208 W CASABLANCA AVE, 27 SOMDG
CANNON AFB, NM 88103
Curry County (575) 784-0287
MR. DONALD JOSEPH TRIGG PA-C
Physician Assistant
208 W CASABLANCA AVE, 100
CANNON AFB, NM 88103
Curry County (575) 784-7801
DR. THIEN H NGUYEN PHARM.D.
Pharmacist
208 W CASABLANCA AVE
CANNON AFB, NM 88103
Curry County (575) 784-4028
DANIEL LEWIS TYSON IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
208 W CASABLANCA AVE
CLOVIS, NM 88103
Curry County (575) 784-7801
27TH SPECIAL OPS MEDGRP-CANNON
Clinic/Center (Military/U.S. Coast Guard Outpatient)
208 W CASABLANCA AVE, 27 MDSS SGSR
CANNON AFB, NM 88103
Curry County (505) 784-4023
DESIREE ANDERSON IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
208 W CASABLANCA AVE
CANNON AFB, NM 88103
Curry County (850) 217-8587
DR. KATHERINE MILAM D.O.
Family Medicine
208 W CASABLANCA AVE
CANNON AFB, NM 88103
Curry County (575) 904-3806

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremiah Johnson's NPI number?

The NPI number for Jeremiah Johnson is 1558386979. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Jeremiah Johnson located?

Jeremiah Johnson practices at 208 W Casablanca Ave 27 Somdg/Sgpm, Cannon Afb, NM 88103. The listed phone number is (575) 784-2843.

What is Jeremiah Johnson's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeremiah Johnson was last updated on January 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.