Suzanne Elizabeth Johnston, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-107889 Issued in CA

Practice address

5700 Laurel Canyon Blvd Apt 203
Valley Village, CA 91607-4538

Phone

(310) 872-7693

NPI assigned

Jan 18, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1659817310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 LAUREL CANYON BLVD APT 203",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916074538",
            "telephone_number": "310-872-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 LAUREL CANYON BLVD APT 203",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916074538",
            "telephone_number": "310-872-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "SUZANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L-107889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBCLC",
            "identifier": "L-107889",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Sands DDS a Professional Corporation (Smiles By Sands)
• Omid M Javaherian, DC
• Robert Javoorian
• Sheila Jensen
• Tosucha Jay Johnson, OTR
• Nina Jordan Taubenfeld
• Susan Ackerman Joseph
• Just Like Home Care Center Dba Just Like Home
• Andrea Hoffman Kachuck, MD
• Laura L Kadlec, D.D.S.

• Lactation Consultant (Non-RN) in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Lactation Consultant (Non-RN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.