Northern Nutrition Group, LLC
NPI 1740754472ActiveOrganization· Dietitian, Registered· Bozeman, MT
Dietitian, Registered in Bozeman, Montana, registered in NPPES in January 2019. The authorized official on file is Kimberly Johnson, RD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740754472 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 16, 2019 |
| Last updated in NPPES | Jun 14, 2022 |
| Certified by provider | Jun 14, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MT) |
|---|
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