Active NPI
Christina M Johnson, BSPH, CBD-CPD, IBCLC
- Lactation Consultant (Non-RN)
- Madison Heights, MI
National Provider Identifier
1285312595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DP-CPS8305 | MI | MD | Prevention Professional |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lactation Lighthouse, LLC | Nutrition, Education | Current | Accepting new patients |
| Lactation Consultants of America | Lactation Consultant, Non-RN | Past | 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.
-
- Lactation Consultant (Non-RN)
- Madison Heights, MI
- NPI 1023838265
Nutrition, Education
-
- Lactation Consultant (Non-RN)
- Big Bear City, CA
- NPI 1740929694
Lactation Consultant, Non-RN
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.