Active NPI
Vanessa Denise Johnson, RN, CLS, DOULA
- Registered Nurse
- Milwaukee, WI
National Provider Identifier
1194150938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 153476-030
- Practice address
- 3418 N 50TH St
Milwaukee, WI 53216 - Phone
- (414) 768-2268
- NPI assigned
- Sep 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | WI | ||
| Registered Nurse | 163W00000X | 153476-030 | WI | Primary |
Addresses
Primary practice location
3418 N 50TH St
Milwaukee, WI 53216
Mailing address
5555 N 91St St Unit 250592
Milwaukee, WI 53225-7019
Phone (414) 768-2268
Other practice location 1
3418 N 50th St
Milwaukee, WI 53216
Phone (414) 768-2268
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
| License | State | Type | Specialty |
|---|---|---|---|
| 153476-030 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1194150938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 N 91ST ST UNIT 250592",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532257019",
"telephone_number": "414-768-2268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3418 N 50TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53216",
"telephone_number": "414-768-2268"
}
],
"practiceLocations": [
{
"address_1": "3418 N 50th St",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "53216",
"country_code": "US",
"telephone_number": "414-768-2268",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "VANESSA",
"middle_name": "DENISE",
"credential": "RN, CLS, DOULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-11",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "WI",
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "153476-030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.