Theresa J Johnson, RN, IBCLC, RLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

RN428962 Issued in CA

Practice address

9918 N John Albert Ave
Fresno, CA 93720-4090

Phone

(559) 434-6937

NPI assigned

Jul 22, 2009

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1407086572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9918 N JOHN ALBERT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937204090",
            "telephone_number": "559-434-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9918 N JOHN ALBERT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937204090",
            "telephone_number": "559-434-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "THERESA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "RN, IBCLC, RLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "CA",
            "license": "RN428962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan C Johnson
• Shannon Johnson, M.A., CCC-SLP
• Sharon Lorraine Johnson, PH.D.
• Shawn Johnson, DC
• Spencer Johnson, MD
• Tiffany Nicole Lynne Johnson
• Tracy Johnson, MD
• Tyresha Dane Johnson
• Virginia Johnson
• Weniesha Dashawn Johnson, LPCC

• Lactation Consultant (Registered Nurse) in Fresno, CA
• Providers in Fresno, CA by specialty
• Lactation Consultant (Registered Nurse) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.