Individual provider Active NPI

Nikita Johnson, MIDWIFE, DOULA

  • Lay Midwife
  • Ellicott City, MD
National Provider Identifier
1366084824
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lay MidwifeTaxonomy code 175M00000X
Practice address
5024 Dorsey Hall Dr # 203-D
Ellicott City, MD 21042-7869
Phone
(667) 303-2336
Fax
(410) 204-5176
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lay MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 175M00000X PA Primary

Addresses

Primary practice location

5024 Dorsey Hall Dr # 203-D
Ellicott City, MD 21042-7869

Mailing address

5024 Dorsey Hall Dr # 203-D
Ellicott City, MD 21042-7869
Phone (444) 444-4444

Other identifiers 2

IdentifierTypeStateIssuer
000000000000000000MedicaidMD
000000000000000000OtherMDNURSING SERVICE RELATED PROVIDERS TYPE

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

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1366084824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 DORSEY HALL DR # 203-D",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427869",
            "telephone_number": "444-444-4444",
            "fax_number": "410-204-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 DORSEY HALL DR # 203-D",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210427869",
            "telephone_number": "667-303-2336",
            "fax_number": "410-204-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NIKITA",
        "credential": "MIDWIFE, DOULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife, Lay",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000000000000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING SERVICE RELATED PROVIDERS TYPE",
            "identifier": "000000000000000000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.