Trista Johnson

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-311970 Issued in TX

Practice address

2799 State Highway 155
Lone Star, TX 75668-5231

Phone

(903) 755-4180

NPI assigned

Apr 16, 2025

Last updated

Apr 16, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Practice roles

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.

• The Latch Academy

  • Lactation Consultant (Registered Nurse)
  • Lone Star, TX
  • NPI 1982497897
  NPD Authorized official

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1306632443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 STATE HIGHWAY 155",
            "city": "LONE STAR",
            "state": "TX",
            "postal_code": "756685231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 STATE HIGHWAY 155",
            "city": "LONE STAR",
            "state": "TX",
            "postal_code": "756685231",
            "telephone_number": "903-755-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TRISTA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "L-311970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Gleaton, P.T.
• Tara Gray, FNP
• Helping Hands of East Texas Home Healthcare
• Helping Hands of East Texas Homehealthcare
• Eddie Johnson
• Pain Management Joint Venture, LLP (Centre Of Rehabilitation Excellence)
• Shelby N Phillips, PT
• Phynet, Inc (Tall Pines Health Clinic)
• Stephenie Pyland, PTA
• Cecilia Yvonne Smith

• Lactation Consultant (Registered Nurse) in Lone Star, TX
• Providers in Lone Star, TX by specialty
• Lactation Consultant (Registered Nurse) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.