Individual provider Active NPI

Kimberly Ann Johnson, FNP-BC

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1003117516
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
990154 Issued in CO
Practice address
2045 N Franklin St
Denver, CO 80205-5437
Phone
(303) 344-4545
NPI assigned
Nov 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.008453 IL
Family Nurse Practitioner 363LF0000X 990154 CO Primary
Registered Nurse 163W00000X 201184 CO

Addresses

Primary practice location

2045 N Franklin St
Denver, CO 80205-5437

Mailing address

10350 E Dakota Ave
Denver, CO 80247-1314
Phone (303) 344-4545

Other practice location 1

1906 Blake Ave
Glenwood Spgs, CO 81601-4227
Phone (970) 384-7290

Other identifiers 1

IdentifierTypeStateIssuer
87336855MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130130000263 CO Practitioner - Nurse Practitioner 0840487047 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley View Hospital AssociationGroup PAC ID 1850294778, shared by 23 NPIs, 205 clinicians

Practice addresses (Care Compare)

1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 384-7290

Hospital & facility affiliations

  • Valley View Hospital Association Hospital, Glenwood Springs, CO, CCN 060075
  • Grand River Hospital District Hospital, Rifle, CO, CCN 061317
  • Eastern Rio Blanco County Health Service District Hospital, Meeker, CO, CCN 061325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201184COMDRegistered Nurse
990154COMDFamily Nurse Practitioner
209.008453ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Valley View Hospital Association CurrentSince Oct 31, 2012 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association CurrentSince Oct 31, 2012 Accepting new patients
Valley View Hospital Association CurrentSince Oct 31, 2012 Accepting new patients
Pathology Assoc of the Roaring Fork Current Accepting new patients
Saint Joseph Hospital, Inc Current Accepting new patients
Valley View Hospital Association Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jul 13, 2017 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jul 13, 2017 Accepting new patients
Saint Joseph Hospital Inc CurrentSince Jul 13, 2017 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Saint Joseph Hospital, Inc CurrentSince Jul 13, 2017 Accepting new patients
Midwest Emergency Department Specialists LTD Past Accepting new patients
The Memorial Hospital Past Accepting new patients
The Memorial Hospital Past Accepting new patients
The Memorial Hospital Past Accepting new patients
The Memorial Hospital Past Accepting new patients
The Memorial Hospital Past Accepting new patients
Memorial Expresscare, LLC Past Accepting new patients

Locations

750 Hospital Loop
Craig, CO 81625
Phone (970) 824-9411

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

1818 N Ogden St
Ste 400
Denver, CO 80218
Phone (303) 318-2440

1960 N Ogden St
Ste 330
Denver, CO 80218
Phone (303) 318-2610

377 Sylvan Lake Rd
Ste 220
Eagle, CO 81631
Phone (970) 328-6357

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

Interoperability endpoints

  • Direct secure messaging: kimberly.johnson.1@9028.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25213/brand/1/csg/1/fhir/r4

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 20

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1003117516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10350 E DAKOTA AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802471314",
            "telephone_number": "303-344-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 N FRANKLIN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055437",
            "telephone_number": "303-344-4545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1906 Blake Ave",
            "address_purpose": "LOCATION",
            "city": "Glenwood Spgs",
            "state": "CO",
            "postal_code": "816014227",
            "country_code": "US",
            "telephone_number": "970-384-7290",
            "fax_number": "970-384-7293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-15",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.008453",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "990154",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "201184",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87336855",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2045 N Franklin St",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802055437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.