Kelly Danielle Johnson, BSN, RNC-MNN, CBC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

26NO12279100 Issued in NJ

Practice address

240 E Palisade Ave Apt 5F
Englewood, NJ 07631-3150

Phone

(201) 953-4284

NPI assigned

Jun 13, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1083274989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E PALISADE AVE APT 5F",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313150",
            "telephone_number": "201-953-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E PALISADE AVE APT 5F",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313150",
            "telephone_number": "201-953-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELLY",
        "middle_name": "DANIELLE",
        "credential": "BSN, RNC-MNN, CBC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NJ",
            "license": "26NO12279100",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "NJ",
            "license": "26NO12279100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jisun Cha MD
• JK Psychological Consulting LLC
• Joanne W. Cazeau LLC
• Joann Johnson, PTA
• Joy V Johnson, PHARMD
• Marquis D Johnson
• Tarrell K Johnson
• Jonathan Lewin MD PC
• Heangho Jong
• Eun Mi Joo, RN,FNP-C

• Lactation Consultant (Registered Nurse) in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Lactation Consultant (Registered Nurse) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.