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1093424566 NPI number — LAUREN BETH JOHNSON RDN

NPI Number: 1093424566
Health Care Provider/Practitioner: LAUREN BETH JOHNSON RDN

Information about “1093424566” NPI (LAUREN BETH JOHNSON RDN) exists in 1093424566 in HTML format HTML  |  1093424566 in plain Text format TXT  |  1093424566 in PDF (Portable Document Format) PDF  |  1093424566 in an XML format XML  formats.

NPI Number : 1093424566 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1093424566",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JOHNSON",
    "FirstName": "LAUREN",
    "MiddleName": "BETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RDN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ROTTMAN",
    "OtherFirstName": "LAUREN",
    "OtherMiddleName": "BETH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 34703",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SEATTLE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98124-1703",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3030 LIMITED LN NW",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OLYMPIA",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98502-2704",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-491-1399",
    "PracticeLocationAddressFaxNumber": "360-704-2914",
    "EnumerationDate": "11/23/2022",
    "LastUpdateDate": "11/26/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "133V00000X",
          "TaxonomyName": "Registered Dietitian",
          "LicenseNumber": "61140985",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "171M00000X",
          "TaxonomyName": "Case Manager/Care Coordinator",
          "LicenseNumber": "DI61140985",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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