MEDICARE: ROSEANN JOHN 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	DT92763	TX

General Provider Information

NPI Number	:	1720946445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSEANN JOHN RDN

Provider Business Mailing Address
First Line	:	5447 MERSEA DR
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77449-7465
Country	:	US
Telephone Number	:	832-466-3616
Fax Number	:

Provider Business Practice Location Address
First Line	:	2119 WESTHEIMER RD APT 1124
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-1975
Country	:	US
Telephone Number	:	832-466-3616
Fax Number	:

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

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ ROSEANN JOHN RDN” Practice Location

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