MEDICARE: MEGAN KAITLYN JOHNSTON RDN

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	86293168	VA

General Provider Information

NPI Number	:	1669264321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN KAITLYN JOHNSTON RDN

Provider Business Mailing Address
First Line	:	6345 COMMUNITY HOUSE RD
Second Line	:
City	:	COLUMBIA
State	:	VA
Zip	:	23038-2209
Country	:	US
Telephone Number	:	804-221-4444
Fax Number	:

Provider Business Practice Location Address
First Line	:	6345 COMMUNITY HOUSE RD
Second Line	:
City	:	COLUMBIA
State	:	VA
Zip	:	23038-2209
Country	:	US
Telephone Number	:	804-221-4444
Fax Number	:

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

Provider Enumeration Date	:	05/20/2025
Last Update Date	:	05/20/2025

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