Individual provider Active NPI

Julie Ann Johnson, RN IBCLC

  • Lactation Consultant (Registered Nurse)
  • Missoula, MT
National Provider Identifier
1619514973
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
RN-28541 Issued in MT
Practice address
301 W Alder St
Missoula, MT 59802-4123
Phone
(406) 241-9720
NPI assigned
Dec 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X RN-28541 MT Primary

Addresses

Primary practice location

301 W Alder St
Missoula, MT 59802-4123

Mailing address

301 W Alder St
Missoula, MT 59802-4123
Phone (406) 241-9720

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-28541MTMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
County of Missoula CurrentSince May 18, 2025 Accepting new patients
County of Missoula PastSince Dec 9, 2019 Accepting new patients

Locations

301 W Alder St
Missoula, MT 59802
Phone (406) 258-4750

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.

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1619514973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W ALDER ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024123",
            "telephone_number": "406-241-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W ALDER ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024123",
            "telephone_number": "406-241-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "RN IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MT",
            "license": "RN-28541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.