NPIMap

Individual provider Active NPI

Anna Johanson, MD

  • Family Medicine Physician
  • Winter Park, CO
National Provider Identifier
1124466016
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0005213 Issued in CO
Practice address
78878 US Highway 40 Winter Park, Co 80482
Winter Park, CO 80482
Phone
(970) 812-8765
Fax
(970) 788-7518
NPI assigned
Jun 12, 2013
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0005213 CO Primary

Addresses

Primary practice location

78878 US Highway 40 Winter Park, Co 80482
Winter Park, CO 80482

Mailing address

PO Box 1213
Tabernash, CO 80478-0207
Phone (720) 284-2814

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171011000084 CO Practitioner - Family Practice 9436399359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Colorado School of Medicine, Denver, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Granby Park Dr S
Granby, CO 80446-5304
Phone (970) 724-3442

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0005213COMDExercise & Sports Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kremmling Memorial Hospital District CurrentSince Feb 1, 2026 Accepting new patients
Wheat Ridge Family Physicians LLC Family Medicine CurrentSince Sep 28, 2020 Accepting new patients
Kremmling Memorial Hospital District CurrentSince Feb 1, 2026 Accepting new patients
Alpine Sun Family Medicine CurrentSince Apr 14, 2024 Accepting new patients

Locations

4500 W 38th Ave
Ste 220
Denver, CO 80212
Phone (303) 218-7754

1000 Granby Park Dr S
Granby, CO 80446
Phone (970) 668-5771

Interoperability endpoints

  • Direct secure messaging: anna.johanson.1@31867.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1124466016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1213",
            "city": "TABERNASH",
            "state": "CO",
            "postal_code": "804780207",
            "telephone_number": "720-284-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78878 US HIGHWAY 40 WINTER PARK, CO 80482",
            "city": "WINTER PARK",
            "state": "CO",
            "postal_code": "80482",
            "telephone_number": "970-812-8765",
            "fax_number": "970-788-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSON",
        "first_name": "ANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2024-08-05",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "0005213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, CO

Sources for this page

Verify at the official NPI Registry.