Individual provider Active NPI

Brittany Johansen, NP

  • Pediatric Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1093385163
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0104455 Issued in CO
Practice address
1550 S Potomac St Ste 230
Aurora, CO 80012-5448
Phone
(303) 369-9785
NPI assigned
Jun 30, 2021
Last updated
Dec 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5019725 NC
Pediatric Nurse Practitioner 363LP0200X 0104455 CO Primary
Pediatric Nurse Practitioner 363LP0200X 5019725 NC

Addresses

Primary practice location

1550 S Potomac St Ste 230
Aurora, CO 80012-5448

Mailing address

1550 S Potomac St Ste 230
Aurora, CO 80012-5448
Phone (303) 369-1077

Other practice location 1

1839 E Garrison Blvd
Gastonia, NC 28054-4839
Phone (704) 864-2685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5019725NCMDNurse Practitioner
0104455COMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastonia Pediatric Associates, PA PastSince Aug 4, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bjohansen331694@direct.novanthealth.org
  • Direct secure messaging: brittany.johansen.1@16985.direct.athenahealth.com
  • Direct secure messaging: brittany.johansen.p1@direct.gpa1.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1093385163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S POTOMAC ST STE 230",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125448",
            "telephone_number": "303-369-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 S POTOMAC ST STE 230",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800125448",
            "telephone_number": "303-369-9785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1839 E Garrison Blvd",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280544839",
            "country_code": "US",
            "telephone_number": "704-864-2685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHANSEN",
        "first_name": "BRITTANY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5019725",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "0104455",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5019725",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.