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KRISTIAN TAYLOR JOHANSEN RD
NPI 1811515232
Dietitian, Registered in Oak Park, IL

Active since July 13, 2020
1114 LAKE ST, OAK PARK, IL 60301(708) 383-1114(312) 648-0155 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2022, Jul 13, 2020 (2 updates tracked since 2020).

About Kristian Taylor Johansen Rd NPPES

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

KRISTIAN TAYLOR JOHANSEN RD (NPI 1811515232) is an individual dietitian, registered in Oak Park, Illinois, licensed in Illinois (164008224) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1811515232
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameKRISTIAN TAYLOR JOHANSENCredential: RD
Location Address1114 LAKE STOak Park, IL 60301-1002
Mailing Address1114 Lake StOak Park, IL 60301-1002 · (708) 383-1114 · Fax (312) 648-0155
Phone(708) 383-1114
Fax(312) 648-0155
Sole ProprietorNo
Enumeration DateJuly 13, 2020
Last NPPES UpdateAugust 8, 20222 updates tracked since enumeration
NPPES CertifiedAugust 8, 2022
✔ NPI 1811515232 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 · 164008224
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.
1114 LAKE ST, Oak Park, IL 60301
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Other Providers at the Same Location NPPES 4

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

AMY CARSON RD
Dietitian, Registered
1114 LAKE ST
OAK PARK, IL 60301
Cook County (708) 383-1114
DR. VANN REAMER DPT
Physical Therapist
1114 LAKE ST
OAK PARK, IL 60301
Cook County (708) 383-3897
RUSH-SELECT HOLDINGS, LLC.
Clinic/Center (Physical Therapy)
1114 LAKE ST
OAK PARK, IL 60301
Cook County (708) 383-3897
RCI (WRS), LLC.
Clinic/Center (Rehabilitation)
1114 LAKE ST
OAK PARK, IL 60301
Cook County (708) 383-3897

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 Kristian Johansen's NPI number?

The NPI number for Kristian Johansen is 1811515232. It was assigned to this individual provider in the NPPES registry on July 13, 2020.

Where is Kristian Johansen located?

Kristian Johansen practices at 1114 Lake St, Oak Park, IL 60301. The listed phone number is (708) 383-1114.

What is Kristian Johansen'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 Kristian Johansen was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.