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

Mr. Jeremiah Edwin Johnson, RDMPH

Individual provider Registered Dietitian · NPI 1558386979

Mr. Jeremiah Edwin Johnson, RDMPH is a Registered Dietitian in Cannon AFB, New Mexico. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

208 W Casablanca Ave 27 Somdg/sgpm
Cannon AFB, NM 88103-5009
Phone: (575) 784-2843
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1558386979
Entity typeIndividual (Type 1)
GenderMale
Credentials RDMPH
Sole proprietorNo
NPI enumeratedJuly 13, 2006
Last updated in NPPESJanuary 23, 2013
Mailing address208 W Casablanca Ave, 27 Somdg/Sgpm, Cannon Afb, NM 88103-5009