Active NPIIndividual providerSole proprietor

Kelly D Johnson, BSN, RNC-MNN, CBC

Registered Nurse, Lactation Consultant in Englewood, New Jersey

NPI Number1083274989
Practice location
240 E Palisade Ave Apt 5F, Englewood, NJ 07631-3150
Fax
—
Last updated
February 3, 2026

Kelly Danielle Johnson is a Registered Nurse, Lactation Consultant based in Englewood, NJ. Kelly Danielle Johnson practices in Englewood, NJ and has the professional credentials of BSN, RNC-MNN, CBC. The NPI Number for Kelly Danielle Johnson is 1083274989 and holds a License No. 26NO12279100 (NJ). The current practice location address for Kelly Danielle Johnson is 240 E Palisade Ave Apt 5F, Englewood, NJ 07631-3150 and can be reached out via phone at 201-953-4284.

Provider Profile Details

NPI Number
1083274989
Provider Name
Kelly Danielle Johnson
Credential
BSN, RNC-MNN, CBC
Provider Entity Type
Individual
Gender
Female
Address
240 E Palisade Ave Apt 5F, Englewood, NJ 07631-3150
Phone Number
201-953-4284
Primary Taxonomy
Registered Nurse, Lactation Consultant · 163WL0100X
Sole Proprietor
Yes
Provider Enumeration Date
June 13, 2019
Last Update Date
February 3, 2026
Certification Date
February 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
240 E Palisade Ave Apt 5F
Englewood, NJ 07631-3150
Zip
07631-3150
Phone Number
201-953-4284
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
240 E Palisade Ave Apt 5F
Englewood, NJ 07631-3150
City
Englewood
State
NJ
Zip
07631-3150
Phone Number
201-953-4284

License Information

Taxonomy (1)
Doula · 374J00000X
License Number (2)
26NO12279100
License State (2)
NJ
Taxonomy (2)
Registered Nurse, Lactation Consultant · 163WL0100X · Primary
Taxonomy (3)
Health Educator · 174H00000X
License Number (4)
26NO12279100
License State (4)
NJ
Taxonomy (4)
Registered Nurse, Maternal Newborn · 163WM0102X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly D Johnson, BSN, RNC-MNN, CBC?

The NPI number of Kelly D Johnson, BSN, RNC-MNN, CBC is 1083274989. It was assigned on June 13, 2019 and is currently active in the NPPES registry.

What is the specialty of Kelly D Johnson, BSN, RNC-MNN, CBC?

Kelly D Johnson, BSN, RNC-MNN, CBC is registered under the primary taxonomy Registered Nurse, Lactation Consultant (code 163WL0100X), licensed in NJ under license number 26NO12279100.

Where does Kelly D Johnson, BSN, RNC-MNN, CBC practice?

The practice location is 240 E Palisade Ave Apt 5F, Englewood, NJ 07631-3150. The office can be reached at 201-953-4284 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083274989 directly on the NPPES registry website.

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