Nina Alexandra Johnson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2900 E 136TH Ave Ste 201
Thornton, CO 80241-3542

Phone

(303) 996-6005

NPI assigned

Apr 7, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: nina.koester.1@24989.direct.athenahealth.com
• Direct secure messaging: njohnson404023@direct.childrenscolorado.org

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.

• Children'S Hospital Colorado

  • Clinical Social Worker
  • Aurora, CO
  • NPI 1174282776
  NPD
• Peak Pediatrics PLLC

  • Clinic/Center
  • Wheat Ridge, CO
  • NPI 1952471971
  NPD (past)

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1104455419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 7TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043014",
            "telephone_number": "914-772-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 E 136TH AVE STE 201",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802413542",
            "telephone_number": "303-996-6005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 E 68th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100654870",
            "country_code": "US",
            "telephone_number": "212-746-5454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NINA",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Johnson, B.A.
• Eric Johnson, DMD
• Heather Johnson
• Jewell Johnson
• Nikki Jo Johnson
• Raquel Simey Johnson, LCSW
• Samantha Kate Johnson
• Shannon Johnstad, PA
• Carol B. Johnston, APN
• Travis Johnston

• Physician Assistant in Thornton, CO
• Providers in Thornton, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.