NPI 1760528293 · live from the CMS NPI Registry
Maureen K Johnson, Registered Dietitian, INC.
Case Manager/Care Coordinator in Laramie, WY. National Provider Identifier 1760528293, active.
NPI record
| NPI | 1760528293 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Case Manager/Care Coordinator 171M00000X |
| Practice location | 2010 Reynolds St, #H280, Laramie, WY 82072 |
| Practice phone | 307-745-4026 |
| Mailing address | Po Box 1800, Laramie, WY 82073 |
| Enumerated | January 30, 2007 |
| Last updated | September 11, 2025 |
| Authorized official | Maureen Johnson, President Consultant |
| Other names | Mkjrd, INC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | — |
| Case Manager/Care Coordinator primary | 171M00000X | — |
| Day Training, Developmentally Disabled Services | 251C00000X | — (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.