KAILA E JOHNSON – Registered Dietitian, NPI 1821456930
Registered Dietitian
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KAILA E JOHNSON
159 W Broadway Ste 200
Salt Lake City, UT 841011923
Phone: (404) 408-5442
Type: Location
330 1st Capitol Dr Ste 240
Saint Charles, MO 633012846
Phone: (314) 900-1112
Fax: (888) 920-1915
Type: Location
600 Anton Blvd Ste 1100
Costa Mesa, CA 926267100
Phone: (720) 204-5760
Type: Location
5100 NW 33rd Ave Ste 245
Ft Lauderdale, FL 333096381
Phone: (786) 605-9055
Fax: (913) 676-7358
Type: Location
160 N Eagle Creek Dr Ste 420
Lexington, KY 405092125
Phone: (502) 305-7614
Type: Location
3214 Charles B Root Wynd Ste 203
Raleigh, NC 276125440
Phone: (919) 877-6800
Type: Location
240 N Broadway Ste 208
Portland, OR 972271881
Phone: (503) 664-9111
Type: Location
3041 E FLAMINGO RD
LAS VEGAS, NV 891217446
Phone: (239) 284-3220
Type: Mailing
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-01-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220924000377 | I | Registered Dietitian Or Nutrition Professional | NC | TBD |
| I20230413000928 | I | Registered Dietitian Or Nutrition Professional | MI | TBD |
| I20231004002068 | I | Registered Dietitian Or Nutrition Professional | CA | TBD |
| I20250109000203 | I | Registered Dietitian Or Nutrition Professional | AZ | TBD |
| I20250110001887 | I | Registered Dietitian Or Nutrition Professional | NJ | TBD |
| I20250117000189 | I | Registered Dietitian Or Nutrition Professional | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 84101)
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Reviews
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