BECKY ANN JOHNSON (LD) – Registered Dietitian, NPI 1508426156

BECKY ANN JOHNSON (LD) is a healthcare provider. based in Canyonville, Oregon. specializing in Registered Dietitian. They hold the professional credentials LD. They hold a License No. 8606562 (OR). The NPI Number for BECKY ANN JOHNSON (LD) is 1508426156

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
BECKY ANN JOHNSON (LD)
NPI
1508426156
Phone
(541) 839-1345
Address
480 WARTAHOO LN
Enumeration Date
17 June 2019
Last Update Date
10 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5418391345
Graduation Year
2019 (7 years ago)
PAC ID
7214262310
Group Practice PAC ID
8921099474
Professional Enrollment ID
I20190711001906
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

Provider Addresses for BECKY ANN JOHNSON (LD)

  • 480 WARTAHOO LN

    CANYONVILLE, OR 974179683

    Phone: (541) 839-1345

    Fax: (855) 670-1791

    Type: Location

  • Northeast Stephens Street, Roseburg, Douglas County, Oregon, 97470, United States

    ROSEBURG, OR 974701399

    Phone: (541) 672-8533

    Fax: (855) 670-1788

    Type: Mailing

  • 9605 GRAND RONDE RD

    GRAND RONDE, OR 973479712

    Phone: (503) 879-1396

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97417)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921099474View full group profile
NameSpecialtyState
P O D I A T R YOR
-OR
-OR
Nurse PractitionerOH
P S Y C H I A T R YND
Registered Dietitian Or Nutrition ProfessionalCO
-OR
P S Y C H I A T R YOR
Clinical Social WorkerMI
Family PracticeOH

Reviews

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Frequently asked questions

Can I verify BECKY ANN JOHNSON (LD) with an NPI only?
You can start verification with NPI 1508426156 for BECKY ANN JOHNSON (LD), then check state licensing separately.
Is BECKY ANN JOHNSON (LD) listed as active for patients and plans?
The listing shows BECKY ANN JOHNSON (LD) as active in the NPI system.
What taxonomy line describes BECKY ANN JOHNSON (LD)?
For research purposes, treat BECKY ANN JOHNSON (LD) as Registered Dietitian in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for BECKY ANN JOHNSON (LD)?
BECKY ANN JOHNSON (LD)'s geographic hint is Canyonville, Oregon in our summary view.
Is the information about BECKY ANN JOHNSON (LD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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