Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Johanna Shea Estes, RD, IBCLC, MSNFNP-C

Individual provider Nurse Practitioner · NPI 1558685156

Johanna Shea Estes, RD, IBCLC, MSNFNP-C is a Registered Dietitian OR Nutrition Professional in Mount Vernon, Illinois. Qualified in 2022, 4 years ago. Practices with Deaconess Illinois Crossroads Inc, a 7-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2010
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

4101 N Water Tower Pl
Mount Vernon, IL 62864-6296
Phone: (618) 244-6222
Fax: (618) 246-1247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209027598 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209027598 (IL)

Record details

NPI number1558685156
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , IBCLC , MSNFNP-C
Sole proprietorNo
NPI enumeratedMarch 25, 2010
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Deaconess Illinois Crossroads Inc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mount Vernon