Tia Nicole Johnson, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

18230 E Silver Creek Ave RM 205
Aurora, CO 80011-9501

Phone

(720) 847-6486

NPI assigned

Jan 30, 2023

Last updated

Jan 30, 2023By the provider in NPPES

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

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1245946581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9551 SADDLE SORE CIR",
            "city": "CASHION",
            "state": "OK",
            "postal_code": "730169449",
            "telephone_number": "405-204-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18230 E SILVER CREEK AVE RM 205",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800119501",
            "telephone_number": "720-847-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TIA",
        "middle_name": "NICOLE",
        "credential": "IDMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Lynn Johnson, PHARM. D.
• Stacey M Johnson, APRN
• Steven Johnson, MD
• Terrence Jamon Johnson
• Thomas Johnson, MD
• Tiffany J Johnson, L.M.T
• Trevor Michael Johnson, NP
• Tysheene Shamone Johnson, CNA
• Velma Lousie Johnson
• Anne Johnston, MOTR/L

• Independent Duty Medical Technicians in Aurora, CO
• Providers in Aurora, CO by specialty
• Independent Duty Medical Technicians in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.