Individual provider Active NPI

Rachel Marie Johnson, RN, IBCLC

  • Lactation Consultant (Registered Nurse)
  • Oceanside, CA
National Provider Identifier
1134588510
Registry record updated Feb 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
95062256 Issued in CA
Practice address
19 Schroeder Dr
Oceanside, CA 92058-7865
Phone
(405) 314-4132
NPI assigned
Feb 15, 2016
Last updated
Feb 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 95062256 CA Primary

Addresses

Primary practice location

19 Schroeder Dr
Oceanside, CA 92058-7865

Mailing address

19 Schroeder Dr
Oceanside, CA 92058-7865
Phone (405) 314-4132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95062256CAMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Nurture Lactation LLC Lactation Consultant CurrentSince May 4, 2025 Accepting new patients
Nurture Lactation LLC Past Accepting new patients

Locations

424 E 2nd St
Edmond, OK 73034
Phone (405) 314-4132

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456012800000",
    "number": "1134588510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SCHROEDER DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920587865",
            "telephone_number": "405-314-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SCHROEDER DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920587865",
            "telephone_number": "405-314-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "95062256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2016; 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.