Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Terra Rachelle Johnson, MS, RDN, IBCLC

Individual provider Lactation Consultant (Non-RN) · NPI 1407249279

Terra Rachelle Johnson, MS, RDN, IBCLC is a Lactation Consultant (Non-RN) in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2015
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

3830 E Van Buren St
Phoenix, AZ 85008-6920
Phone: (602) 323-3344
Fax: (602) 323-3496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 86277803 (AZ)
Lactation Consultant (Non-RN) Taxonomy 174N00000X · Licence L-56576 (AZ)

Record details

NPI number1407249279
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RDN , IBCLC
Sole proprietorYes
NPI enumeratedMarch 18, 2015
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024

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