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Individual
JODY JOHNSON BURT
Active
Individual
JODY JOHNSON BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LRDN, CNSC, NCC
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0544
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0544
SD BOARD OF MEDICAL & OSTEOPATHIC EXAMINER LICENSE NUMBER
SD
01
—
2201099
CNSC
SD
01
—
870348
COMMISSION ON DIETETIC REGISTRATION NUMBER
—
01
—
95263
NCC
SD
Enumeration date
06/08/2006
Last updated
03/16/2026
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