Individual provider Active NPI

Christina M Johnson, BSPH, CBD-CPD, IBCLC

  • Lactation Consultant (Non-RN)
  • Madison Heights, MI
National Provider Identifier
1285312595
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
L-313068
Practice address
905 W 11 Mile Rd
Madison Heights, MI 48071-3103
Phone
(734) 224-5471
NPI assigned
Jul 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X
Prevention Professional 405300000X DP-CPS8305 MI
Health & Wellness Coach 171400000X
Adult Companion 372600000X
Lactation Consultant (Non-RN) 174N00000X L-313068 Primary
Health Educator 174H00000X
Community Health Worker 172V00000X
Chore Provider 372500000X
Doula 374J00000X MI
Nurse's Aide 376K00000X

Addresses

Primary practice location

905 W 11 Mile Rd
Madison Heights, MI 48071-3103

Mailing address

25151 Dequindre Rd Lot 67
Madison Heights, MI 48071-4221
Phone (734) 224-5471

Other practice location 1

25151 Dequindre Rd Lot 67
Madison Heights, MI 48071-4221
Phone (734) 224-5471

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

State licenses

LicenseStateTypeSpecialty
DP-CPS8305MIMDPrevention Professional

Practice roles

OrganizationSpecialtyStatusNew patients
Lactation Lighthouse, LLC Nutrition, Education CurrentSince Nov 3, 2024 Accepting new patients
Lactation Consultants of America Lactation Consultant, Non-RN PastSince Nov 3, 2024 Accepting new patients

Locations

905 W 11 Mile Rd
Madison Heights, MI 48071
Phone (734) 224-5471

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1285312595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25151 DEQUINDRE RD LOT 67",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480714221",
            "telephone_number": "734-224-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 W 11 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713103",
            "telephone_number": "734-224-5471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25151 Dequindre Rd Lot 67",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480714221",
            "country_code": "US",
            "telephone_number": "734-224-5471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "credential": "BSPH, CBD-CPD, IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "MI",
            "license": "DP-CPS8305",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-313068",
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.