Kim Johnson, RN

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

10117364 Issued in NJ

Practice address

310 N Colonial RDG
Moorestown, NJ 08057-1633

Phone

(856) 273-1832

NPI assigned

Jun 7, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1851739205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N COLONIAL RDG",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571633",
            "telephone_number": "856-273-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N COLONIAL RDG",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571633",
            "telephone_number": "856-273-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIM",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR05727600",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NJ",
            "license": "10117364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Viens LPC LLC
• Jenna Cotton, LCSW LLC
• Qiujie Jiang, MD
• Jill Marple, MD
• Brandis L Johnson, PT, DPT
• Kimberly Johnson, DPT, PT
• Laura Johnson, PT, DPT
• Katherine A Johnston, PA-C
• Mallory R Johnston, PT, DPT
• Cheryl Jones-Holaday, LCSW

• Lactation Consultant (Non-RN) in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Lactation Consultant (Non-RN) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.