Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclyn A Johnson, RD

Individual provider Registered Dietitian · NPI 1811488430

Jaclyn A Johnson, RD is a Registered Dietitian OR Nutrition Professional in Willmar, Minnesota. Graduated from University of Minnesota Medical School in 2016, 10 years ago. Practices with Centracare Clinic Southwest LLC, a 172-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2018
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

1604 1st St S
Willmar, MN 56201-4243
Phone: (320) 231-6348
Fax: (320) 231-5067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 3952 (MN)

Record details

NPI number1811488430
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedMay 21, 2018
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023
Mailing address1604 1st St S, Willmar, MN 56201-4243

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2016 (10 years in practice)
Group practice Centracare Clinic Southwest Llc — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Willmar