IndividualActive
Susan Johnson, IBCLC
NPI 1902218290 · Lactation Consultant (Non-RN) · Salt Lake City, UT
Provider details
- NPI number
- 1902218290
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- L-17518 (UT)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2180 S 1300 E Ste 600
Parkview Plaza One
Salt Lake City, UT 84106-4462
Phone: (801) 580-4419
Street-level locationGet directions
Mailing address
Po Box 522425
Salt Lake City, UT 84152-2425
Registry dates
- Enumerated
- 2014-05-21
- Last updated
- 2014-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.