Miranda Johnson-Haddad

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-17582 Issued in CA

Practice address

763 S Oakland Ave
Pasadena, CA 91106-3722

Phone

(818) 621-5477

NPI assigned

Mar 22, 2015

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 names 1

• Miranda Johnson-Haddad Professional name

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": "1426982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426982400000",
    "number": "1770977332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 S OAKLAND AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063722",
            "telephone_number": "818-621-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 S OAKLAND AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911063722",
            "telephone_number": "818-621-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-HADDAD",
        "first_name": "MIRANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-22",
        "last_updated": "2015-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L-17582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "JOHNSON-HADDAD",
            "credential": "IBCLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• John M Compoginis MD Inc
• John Vincent Spine Associates Inc
• Benjamin David Johnides, PH.D.
• Emilee L Johnsen
• Cynthia L Johnson-George, PH.D.
• Rita M Johnson-Jean
• Aaron Johnson
• Alison Johnson, PSYD
• Andrea Fay Johnson
• Anjure Johnson, IMF

• Lactation Consultant (Non-RN) in Pasadena, CA
• Providers in Pasadena, 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 Mar 22, 2015; 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.