Katheryn Johnson, CPT, CRNA, PTC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

0011-5573 Issued in CO

Practice address

3914 Sandalwood LN
Pueblo, CO 81005-2586

Phone

(719) 204-5008

Fax

(719) 982-7494

NPI assigned

Oct 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Adaptive Mobility, LLC

  • Home Modifications Contractor
  • Colorado Springs, CO
  • NPI 1093314379
  NPD

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1003415407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11953 W HORNSILVER MTN",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801273231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 SANDALWOOD LN",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810052586",
            "telephone_number": "719-204-5008",
            "fax_number": "719-982-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KATHERYN",
        "credential": "CPT, CRNA, PTC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2021-01-01",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CO",
            "license": "0011-5573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@adaptcolorado.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "3914 Sandalwood Ln",
            "city": "Pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810052586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Genevieve Johnson, LSW
• Geoffrey Eric Johnson, MD
• Helena Ann Johnson, LCSW
• Jamie L. Johnson, DDS
• Katherine Johnson
• Katy Suzanne Johnson, LMT
• Kerri L. Johnson, MS, CTRS
• Melissa D. Johnson, CPNP
• Micah Johnson
• Michael James Johnson, PA

• Phlebotomy Technician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Phlebotomy Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.