Active NPI
Lucy Johnson
- Physician Assistant
- Colorado Springs, CO
National Provider Identifier
1508556218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3141 Centennial Blvd
Colorado Springs, CO 80907-4094 - Phone
- (719) 327-5660
- NPI assigned
- May 8, 2023
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
3141 Centennial Blvd
Colorado Springs, CO 80907-4094
Mailing address
3141 Centennial Blvd
Colorado Springs, CO 80907-4094
Other practice location 1
1650 Cochrane Cir Unit Meddac
Fort Carson, CO 80913-4604
Phone (719) 526-2092
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": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1508556218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3141 CENTENNIAL BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809074094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3141 CENTENNIAL BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809074094",
"telephone_number": "719-327-5660"
}
],
"practiceLocations": [
{
"address_1": "1650 Cochrane Cir Unit Meddac",
"address_purpose": "LOCATION",
"city": "Fort Carson",
"state": "CO",
"postal_code": "809134604",
"country_code": "US",
"telephone_number": "719-526-2092",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "LUCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-08",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.