Individual provider Active NPI

Emily Jeanne Johnson, MD

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1033565908
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0062604 Issued in CO
Practice address
2101 E 48TH Ave
Denver, CO 80216-2253
Phone
(303) 458-5302
Fax
(303) 583-0152
NPI assigned
May 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.146915 OH
Family Medicine Physician 207Q00000X DR.0062604 CO Primary

Addresses

Primary practice location

2101 E 48TH Ave
Denver, CO 80216-2253

Mailing address

4725 High St
Denver, CO 80216-2220
Phone (303) 458-5302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190730000929 CO Practitioner - Family Practice 1355635871 Reassigns benefits to 2 organizations
I20230111001550 OH Practitioner - Family Practice 1355635871 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Vista Community Health Centers CurrentSince Jul 1, 2019 Accepting new patients
University of Cincinnati Physicians Company, LLC Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
La Clinica Tepeyac, Inc Current Accepting new patients
La Clinica Tepeyac, Inc CurrentSince Sep 2, 2025 Accepting new patients
Peak Vista Community Health Centers CurrentSince Jul 1, 2019 Accepting new patients

Locations

1400 E Boulder St
Colorado Springs, CO 80909
Phone (719) 365-5120

3205 N Academy Blvd
Ste 130
Colorado Springs, CO 80917
Phone (719) 344-6873

2101 E 48th Ave
Denver, CO 80216
Phone (303) 458-5302

5075 Lincoln St
Denver, CO 80216
Phone (303) 458-5302

4725 High St
Denver, CO 80216
Phone (720) 274-2923

3200 Burnet Ave
#2
Cincinnati, OH 45229
Phone (513) 585-5505

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

3120 Burnet Ave
Cincinnati, OH 45229
Phone (513) 584-8600

3120 Burnet Ave
Ste 406
Cincinnati, OH 45229
Phone (513) 558-7700

Interoperability endpoints

  • Direct secure messaging: ejohnson495531@direct.uchealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFCCCA/Endpoint/AFCCCA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1033565908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 HIGH ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802162220",
            "telephone_number": "303-458-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E 48TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802162253",
            "telephone_number": "303-458-5302",
            "fax_number": "303-583-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EMILY",
        "middle_name": "JEANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.146915",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0062604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.