Individual provider Active NPI

Johanna Marie Hamilton, CRNP

  • Adult Health Nurse Practitioner
  • Thornton, CO
National Provider Identifier
1063955540
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN.0999134-NP Issued in CO
Practice address
9195 Grant St Ste 301
Thornton, CO 80229-4386
Phone
(720) 678-9828
NPI assigned
Dec 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN.0999134-NP CO Primary

Addresses

Primary practice location

9195 Grant St Ste 301
Thornton, CO 80229-4386

Mailing address

9195 Grant St Ste 301
Thornton, CO 80229-4386

Other names 1

  • Ms. Johanna Marie McAnally Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20170322000723 AL Practitioner - Nurse Practitioner 6608151287 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of North-Central Alabama Inc CurrentSince Feb 27, 2017 Accepting new patients
RFH Colorado, LLC CurrentSince Aug 18, 2024 Accepting new patients
Gastroenterology Associates of North-Central Alabama Inc CurrentSince Feb 27, 2017 Accepting new patients

Locations

513 Brookwood Blvd
Ste 401
Birmingham, AL 35209
Phone (205) 663-1023

9195 Grant St
Ste 301
Thornton, CO 80229
Phone (720) 678-9868

Organizations & group practices 3

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": "1480550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1063955540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9195 GRANT ST STE 301",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9195 GRANT ST STE 301",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294386",
            "telephone_number": "720-678-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "JOHANNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-01",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0999134-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNA",
            "last_name": "MCANALLY",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.