Active NPI
Lydia Mae Potter
- Family Nurse Practitioner
- Aurora, CO
National Provider Identifier
1164320412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN.1002475-NP
- Practice address
- 13001 E 17TH PL
Aurora, CO 80045-2570 - Phone
- (303) 724-1812
- NPI assigned
- Oct 27, 2026
- Last updated
- Oct 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.1002475-NP | CO | Primary |
Addresses
Primary practice location
13001 E 17TH PL
Aurora, CO 80045-2570
Mailing address
19402 E Caley Dr
Centennial, CO 80016-1234
Phone (720) 695-9335
Other names 1
- Lydia Mae Johnson
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793059200000",
"number": "1164320412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19402 E CALEY DR",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "800161234",
"telephone_number": "720-695-9335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13001 E 17TH PL",
"city": "AURORA",
"state": "CO",
"postal_code": "800452570",
"telephone_number": "303-724-1812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "LYDIA",
"middle_name": "MAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-27",
"last_updated": "2026-10-27",
"certification_date": "2026-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "APN.1002475-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYDIA",
"last_name": "JOHNSON",
"middle_name": "MAE",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.