Kisha D Johnston, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

LC-LC-10218435 Issued in OR

Practice address

13579 SW Feiring LN
Tigard, OR 97223-1605

Phone

(971) 217-3660

NPI assigned

Nov 19, 2021

Last updated

Nov 19, 2021By the provider in NPPES

Sex

Female

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.

• Lactation Consultants of America

  • Lactation Consultant (Non-RN)
  • Tigard, OR
  • NPI 1790467181

  Lactation Consultant, Non-RN

  NPD
• Lactation Consultants of America

  • Lactation Consultant (Non-RN)
  • Big Bear City, CA
  • NPI 1740929694

  Lactation Consultant, Non-RN

  NPD (past)

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1598422958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13579 SW FEIRING LN",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972231605",
            "telephone_number": "971-219-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13579 SW FEIRING LN",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972231605",
            "telephone_number": "971-217-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "KISHA",
        "middle_name": "D",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "OR",
            "license": "LC-LC-10218435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rod Johnson, DMD
• Jayme Ryan Johnston, PHARMD
• Jenna Lari Johnston, LMT
• Jolene R Johnston, DPT
• Kelly K Johnston, MS
• Veronica C Johnstone, B.A.
• Kimberly Suzanne Jolley
• Angela Jones
• Aurora Jones
• Carrie E Jones, ND

• Lactation Consultant (Non-RN) in Tigard, OR
• Providers in Tigard, OR by specialty
• Lactation Consultant (Non-RN) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.