Nichelle Antoinette Johnson, R.D, L.D.
NPI 1487734299ActiveIndividual· Dietitian, Registered· Fort Polk, LA
Dietitian, Registered (R.D, L.D.) in Fort Polk, Louisiana, licensed in FL, with an NPI issued in October 2006.
Overview
| NPI | 1487734299 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | R.D, L.D. |
| Sole proprietor | Yes |
| NPI issued | Oct 16, 2006 |
| Last updated in NPPES | Oct 26, 2021 |
| Certified by provider | Oct 26, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | ND 3309 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dietitian, Registered providers in Fort Polk
- 1164367918
- 1578869350
- 1942390604
- 1487225801
- 1073947024
- 1619821337
- 1629695192
- 1518630847
- 1861766719