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

Kristian Taylor Johansen, RD

Individual provider Registered Dietitian · NPI 1811515232

Kristian Taylor Johansen, RD is a Registered Dietitian in Oak Park, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

1114 Lake St
Oak Park, IL 60301-1002
Phone: (708) 383-1114
Fax: (312) 648-0155
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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 164008224 (IL)

Record details

NPI number1811515232
Entity typeIndividual (Type 1)
GenderMale
Credentials RD
Sole proprietorNo
NPI enumeratedJuly 13, 2020
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022

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