MEDICARE: EMILY MARGARET JOHNSON CNM, 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	163WL0100X	Lactation Consultant (Registered Nurse)	RN215447	AZ
2	367A00000X	Advanced Practice Midwife	RN1060358	DC
3	367A00000X	Advanced Practice Midwife	AC003199	MD
4	367A00000X	Advanced Practice Midwife	NP1060358	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RN1060358	OTHER	DC	DC CNM LICENSE
2	AC003199	OTHER	MD	MARYLAND CNM LICENSE

General Provider Information

NPI Number	:	1447861554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY MARGARET JOHNSON CNM, IBCLC

Provider Business Mailing Address
First Line	:	3811 FAIRFAX DR STE 1000
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22203-1782
Country	:	US
Telephone Number	:	202-741-3560
Fax Number	:

Provider Business Practice Location Address
First Line	:	4920 ELM ST STE 225
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-0007
Country	:	US
Telephone Number	:	202-741-2500
Fax Number	:	202-741-2550

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

Provider Enumeration Date	:	08/12/2020
Last Update Date	:	12/17/2025

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