IndividualActive
Kelly Johnston, RD
NPI 1700748977 · Registered Dietitian · Micanopy, FL
Provider details
- NPI number
- 1700748977
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- ND8921 (FL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
22484 Nw 87th Avenue Rd
Micanopy, FL 32667-7435
Phone: (970) 581-5173
Approximate (ZIP-level) locationGet directions
Mailing address
22484 Nw 87th Avenue Rd
Micanopy, FL 32667-7435
Registry dates
- Enumerated
- 2025-11-26
- Last updated
- 2025-11-26
- Certified
- 2025-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.