MEDICARE: CHRISTINA M JOHNSON BSPH, CBD-CPD, IBCLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133NN1002X	Nutrition Education Nutritionist
2	405300000X	Prevention Professional	DP-CPS8305	MI
3	171400000X	Health & Wellness Coach
4	372600000X	Adult Companion
5	174N00000X	Lactation Consultant (Non-RN)	L-313068
6	174H00000X	Health Educator
7	172V00000X	Community Health Worker
8	372500000X	Chore Provider
9	374J00000X	Doula		MI
10	376K00000X	Nurse's Aide

General Provider Information

NPI Number	:	1285312595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA M JOHNSON BSPH, CBD-CPD, IBCLC

Provider Business Mailing Address
First Line	:	25151 DEQUINDRE RD LOT 67
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-4221
Country	:	US
Telephone Number	:	734-224-5471
Fax Number	:

Provider Business Practice Location Address
First Line	:	905 W 11 MILE RD
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-3103
Country	:	US
Telephone Number	:	734-224-5471
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2023
Last Update Date	:	12/23/2025

Similar Medicare Providers

1962343681 — JILLIAN T EICHHORN LMT, CBD
Practice Location Address:

905 W 11 MILE RD
MADISON HEIGHTS, MI
48071-3103

Practice Phone: 734-224-5471
Practice Fax:

1326872441 — GOOD DAY HOME CARE, INC
Practice Location Address:

925 W 11 MILE RD
MADISON HEIGHTS, MI
48071-3103

Practice Phone: 248-289-5525
Practice Fax: 248-289-5854

1790510253 — JACKILYN BURKEEN
Practice Location Address:

905 W 11 MILE RD
MADISON HEIGHTS, MI
48071-3103

Practice Phone: 173-422-4547
Practice Fax:

1023838265 — LACTATION LIGHTHOUSE, LLC
Practice Location Address:

905 W 11 MILE RD
MADISON HEIGHTS, MI
48071-3103

Practice Phone: 734-224-5471
Practice Fax:

1124911391 — ALAILA HRABOWSKI-SHAMILY DOULA
Practice Location Address:

905 W 11 MILE RD
MADISON HEIGHTS, MI
48071-3103

Practice Phone: 734-224-5471
Practice Fax:

1801991138 — NANCY L NINMAN NP
Practice Location Address:

10 LYNBROOK CIR
MADISON, WI
53719-3103

Practice Phone: 608-274-3951
Practice Fax:

Directions to “ CHRISTINA M JOHNSON BSPH, CBD-CPD, IBCLC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.