Provider Demographics
NPI:1669264321
Name:JOHNSTON, MEGAN KAITLYN (RDN)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:KAITLYN
Last Name:JOHNSTON
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6345 COMMUNITY HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:VA
Mailing Address - Zip Code:23038-2209
Mailing Address - Country:US
Mailing Address - Phone:804-221-4444
Mailing Address - Fax:
Practice Address - Street 1:6345 COMMUNITY HOUSE RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:VA
Practice Address - Zip Code:23038-2209
Practice Address - Country:US
Practice Address - Phone:804-221-4444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA86293168133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered