Amy Johnson, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA-0001234 Issued in CO

Practice address

120 Midland Ave Unit 230
Glenwood Springs, CO 81601-9802

Phone

(970) 947-0600

NPI assigned

Oct 4, 2021

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

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy Asthma and Immunology of the Rockies PC 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Allergy, Asthma & Immunology of the Rockies, PC

  • Allergy & Immunology Physician
  • Glenwood Springs, CO
  • NPI 1982877494

  CO

  Medicare reassignment Care Compare group
• Allergy, Asthma, & Immunology of the Rockies, PC

  • Allergy & Immunology Physician
  • Avon, CO
  • NPI 1316779929
  NPD (past)

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1558033985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2601",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816022601",
            "telephone_number": "970-947-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MIDLAND AVE UNIT 230",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816019802",
            "telephone_number": "970-947-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "AMY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA-0001234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Lynne Jammaron
• Deborah Jaouen, LMT,
• Edlin Jara-Molinar, PA
• Eric Jernigan, MD
• John M. Traul, DDS, PC
• Casey William Johnson, DDS
• Corey Ivan Johnson, D.D.S.
• Matthew Stephen Johnson, MD
• Teresa Maria Johnson, MD
• Kristin Johnston

• All providers in Glenwood Springs, CO
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.