Lisa Marie Johnson, LM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

LMW-0043 Issued in SC

Practice address

3113 Highgate Dr
Fort Mill, SC 29715-7304

Phone

(704) 900-9849

Fax

(704) 947-9076

NPI assigned

Dec 28, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1083944946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2764 PLEASANT RD # 10748",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297087213",
            "telephone_number": "704-900-9849",
            "fax_number": "704-947-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 HIGHGATE DR",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297157304",
            "telephone_number": "704-900-9849",
            "fax_number": "704-947-9076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2764 Pleasant Rd # 10748",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297087213",
            "country_code": "US",
            "telephone_number": "704-900-9849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "LM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-28",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "SC",
            "license": "LMW-0043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry F Jerge, O.D.
• Sital Jethwa
• Andrew Mergen Johnson, DPT
• Emily N Johnson, PHARMD
• Latonia K Johnson, LCSW
• Pamela M Johnson, CLD
• Ronald Lee Johnson, DC
• Scott Charles Johnson, ATC
• Stephanie Johnson, LCMHCS
• Tiffany Lynnjoy Johnson

• Midwife in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Midwife in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.