Destannie Johnson, RN

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

R181199 Issued in MD

Practice address

1701 N George Mason Dr Ste 100
Arlington, VA 22205-3610

Phone

(703) 558-6756

Fax

(703) 558-6766

NPI assigned

Mar 18, 2022

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

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Johnson Nurse Consulting, LLC

  • Lactation Consultant (Registered Nurse)
  • Potomac, MD
  • NPI 1255225439

  Lactation Consultant

  NPD Authorized official
• Virginia Hospital Center Physician Group LLC

  • Lactation Consultant (Registered Nurse)
  • Arlington, VA
  • NPI 1073262010

  Lactation Consultant

  NPD

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1649929613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N GEORGE MASON DR STE 100",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053610",
            "telephone_number": "703-558-6756",
            "fax_number": "703-558-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N GEORGE MASON DR STE 100",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053610",
            "telephone_number": "703-558-6756",
            "fax_number": "703-558-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DESTANNIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MD",
            "license": "R181199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Johnson
• Amy Melissa Johnson, COTA/L
• Barry Johnson
• Claudia Serrano Johnson, M.S
• Deborah Johnson
• Ethan Johnson, MD
• Gail Devonna Johnson
• Kathryn Bailey Johnson, LMSW
• Korey Johnson, MD
• Kristen Anne Johnson, LCSW

• All providers in Arlington, VA
• Lactation Consultant (Registered Nurse) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.