TERRA RACHELLE JOHNSON (NPI# 1407249279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407249279 |
Entity Type | Individual |
Full Name | TERRA RACHELLE JOHNSON |
Credential | IBCLC |
Practice Address |
3100 W Ray Rd Ste 201 Chandler AZ 85226-2472 |
Practice Telephone | 4802075955 |
Practice Fax Number | 4805508806 |
Mailing Telephone | 4802075955 |
Mailing Fax Number | 4805508806 |
Enumeration Date | 2015-03-18 |
Last Update Date | 2015-03-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174N00000X | Lactation Consultant, Non-RN | L-56576 | AZ | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982269890 | Terra Johnson | Behavior Technician | 1260 Upper Hembree Rd Ste D, Roswell, GA 30076-4611 | 2019-05-06 |
1154559342 | Terra Diane Johnson | Registered Nurse | 16045 1st Ave S, Burien, WA 98148-1401 | 2009-06-25 |
Street Address |
3100 W RAY RD STE 201 |
City | CHANDLER |
State | AZ |
Zip Code | 85226-2472 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679576177 | Drory S Tendler | Specialist | 3100 W Ray Rd Ste 201, Chandler, AZ 85226-2472 | 2005-05-27 |
1114532140 | Gabriela N Contreras | Specialist/Technologist | 3100 W Ray Rd Ste 201, Chandler, AZ 85226-2472 | 2020-09-15 |
1508489139 | Carrie Lynn Weyrauch | Occupational Therapist | 3100 W Ray Rd Ste 201, Chandler, AZ 85226-2472 | 2020-05-18 |
1306480256 | Katherine Rasch | Specialist/Technologist | 3100 W Ray Rd Ste 201, Chandler, AZ 85226-2472 | 2019-11-04 |
1457993651 | Morgan M Keime | Specialist/Technologist | 3100 W Ray Rd Ste 201, Chandler, AZ 85226-2472 | 2019-10-09 |
1447801485 | The Addiction Recovery Evolution, LLC. | Counselor | 3100 W Ray Rd Ste 201, Chandler, AZ 85226-2472 | 2019-09-20 |
1811544075 | Leah Marie Curley | Specialist/Technologist | 3100 W Ray Rd Ste 201, Chandler, AZ 85226-2472 | 2019-08-22 |
1194216903 | Oncall Pain LLC | Pain Medicine | 3100 W Ray Rd Ste 201, Chandler, AZ 85226-2472 | 2018-05-29 |
1194248252 | Mohammad Reza Hojjati Md Phd Pllc | Internal Medicine | 3100 W Ray Rd Ste 201, Chandler, AZ 85226-2472 | 2017-07-20 |
1396283057 | On Call LLC | Nurse Practitioner | 3100 W Ray Rd Ste 201, Chandler, AZ 85226-2472 | 2017-02-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922594076 | Diplomat Specialty Pharmacy of Phoenix, LLC | Durable Medical Equipment & Medical Supplies | 485 N Juniper Dr, Chandler, AZ 85226 | 2018-07-02 |
1073011961 | Joshua David Heiller | Physical Therapist | 5590 W Chandler Blvd Ste B4, Chandler, AZ 85226 | 2018-01-25 |
1053771808 | Jessie Beliard | Counselor | 6909 W Ray Rd Ste 138, Chandler, AZ 85226 | 2016-03-07 |
1750754206 | Homestead Hospice of Phoenix LLC | Hospice Care, Community Based | 5355 W Chandler Blvd, Suite 3, Chandler, AZ 85226 | 2015-11-05 |
1003288192 | Savannah Torrez | Physical Therapist | 5590 W Chandler Blvd Ste B-4, Chandler, AZ 85226 | 2015-10-28 |
1437401528 | Larry W. Ganann | Pharmacist | 4949 W. Ray Road, Chandler, AZ 85226 | 2012-10-12 |
1629329503 | East Valley Urgent Care,llc | Clinic/Center | 4959 W Ray Road, Chandler, AZ 85226 | 2012-10-02 |
1457609158 | Patricia Dobratz | Marriage & Family Therapist | 6100 W Gila Springs Pl, Suite 19, Chandler, AZ 85226 | 2012-08-28 |
1831406388 | Chanda Lise Gonzales | Counselor | 6909 W Ray Rd Ste 15-143, Chandler, AZ 85226 | 2010-09-04 |
1689874323 | Arizona Dental Design | Dentist | 4940 W. Ray Road Suite 8, Chandler, AZ 85226 | 2007-07-20 |
Find all providers in zip 85226 |
Taxonomy Code | 174N00000X |
Grouping | Other Service Providers |
Classification | Lactation Consultant, Non-RN |
An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639642861 | Emily Barnes | Lactation Consultant, Non-RN | 285 N Kenneth Pl, Chandler, AZ 85226-2944 | 2019-01-10 |
1336546274 | Michaela Zach | Lactation Consultant, Non-RN | 3132 E Bluebird Pl, Chandler, AZ 85286-5629 | 2014-11-20 |
1477890259 | Arizona Lactation Station LLC | Lactation Consultant, Non-RN | 2320 W Harrison St, Chandler, AZ 85224-3432 | 2013-01-14 |
1962617902 | Deborah Lyn Gillespie | Lactation Consultant, Non-RN | 3355 W Chandler Blvd, Suite 3, Chandler, AZ 85226-5096 | 2007-05-12 |
1386981009 | Desiree D Allison | Lactation Consultant, Non-RN | 2320 W Harrison St, Chandler, AZ 85224-3432 | 2013-01-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649894379 | Rhegan Riane Derfus | Lactation Consultant, Non-RN | 3865 Barraco Dr, Sierra Vista, AZ 85650-4211 | 2020-05-28 |
1366072266 | Mirishka Elizabeth Gill | Lactation Consultant, Non-RN | 139 N 85th Pl, Mesa, AZ 85207-8669 | 2020-01-19 |
1063073963 | Heather Marie Evans | Lactation Consultant, Non-RN | 9233 E Neville Ave Unit 1112, Mesa, AZ 85209-1511 | 2019-06-22 |
1699269878 | Sarah Grace Clay | Lactation Consultant, Non-RN | 8400 S Kyrene Rd Ste 125, Tempe, AZ 85284-2172 | 2018-06-20 |
1437670635 | Kimberly Dawn Moore-salas | Lactation Consultant, Non-RN | 8400 S Kyrene Rd Ste 126, Tempe, AZ 85284-2172 | 2017-06-28 |
1033653456 | Carol Kidd | Lactation Consultant, Non-RN | 3424 W Tanya Trl, Phoenix, AZ 85086-4328 | 2016-12-05 |
1043764582 | Anna Elizabeth Neuman Singleton | Lactation Consultant, Non-RN | 3445 N King St, Flagstaff, AZ 86004-2027 | 2016-08-13 |
1508319054 | Holistic Lactation LLC | Lactation Consultant, Non-RN | 4717 N 33rd Pl, Phoenix, AZ 85018-3316 | 2016-08-02 |
1073972915 | Marylou Sandoval | Lactation Consultant, Non-RN | 3536 W San Juan Ave, Phoenix, AZ 85019-4514 | 2016-02-21 |
1013374230 | Cynthia Lafferty | Lactation Consultant, Non-RN | 21120 E Stirrup St, Queen Creek, AZ 85142-6524 | 2016-01-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.