MEDICARE: NOAH JOHNSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	14294550-4901	UT

General Provider Information

NPI Number	:	1942135231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOAH JOHNSON

Provider Business Mailing Address
First Line	:	6131 S STEEPLE CHASE LN
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84121-2037
Country	:	US
Telephone Number	:	801-505-3486
Fax Number	:

Provider Business Practice Location Address
First Line	:	6131 S STEEPLE CHASE LN
Second Line	:
City	:	MURRAY
State	:	UT
Zip	:	84121-2037
Country	:	US
Telephone Number	:	801-505-3486
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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Directions to “ NOAH JOHNSON ” Practice Location

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