Susan Johnson, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-17518 Issued in UT

Practice address

2180 S 1300 E Ste 600
Parkview Plaza One
Salt Lake City, UT 84106-4462

Phone

(801) 580-4419

NPI assigned

May 21, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Motherfed, LLC

  • Lactation Consultant (Non-RN)
  • Salt Lake City, UT
  • NPI 1720429632

  Lactation Consultant, Non-RN

  NPD (past) Authorized official

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1902218290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 522425",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841522425",
            "telephone_number": "801-580-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 S 1300 E STE 600",
            "address_2": "PARKVIEW PLAZA ONE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841064462",
            "telephone_number": "801-580-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SUSAN",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "UT",
            "license": "L-17518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Johnson, CMHC
• Spencer Douglas Johnson, PHARMD
• Spencer E Johnson, DDS MS
• Stacy A Johnson, M.D.
• Stephanie Johnson
• Susan L. Johnson, L.M.F.T.
• Tammy M Johnson
• Taya Johnson
• Trevor Johnson, PT
• Tyler Johnson, MS, ATC

• Lactation Consultant (Non-RN) in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Lactation Consultant (Non-RN) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.