Carol B. Johnston, APN

Individual provider Active NPI Family Nurse Practitioner · Thornton, CO

NPI 1679810337 · NPPES record last updated Aug 27, 2025

Key facts

NPI
1679810337
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
0990500 (CO)
Practice address
9195 Grant St Ste 225
Thornton, CO 80229-4349
Phone
(720) 536-2460
Fax
(720) 536-2466
NPI assigned
Jan 14, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Denver Nephrologists PC (45 clinicians)

Practice addresses (Care Compare)

9195 Grant St
Suite 225
Thornton, CO 80229-4349
Phone (720) 536-2460

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130503000221 CO Practitioner - Nurse Practitioner 3971740242 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0990500COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Nephrologists, PC Current
since Jul 1, 2021
Accepting new patients
Denver Nephrologists PC Current Accepting new patients
Ria Endovascular, LLC Current
since Dec 1, 2017
Accepting new patients
Denver Nephrologists, PC Current
since Jul 1, 2021
Accepting new patients
Radiology Imaging of Nebraska, LLC Past Accepting new patients

Locations

1411 S Potomac St
Ste 200
Aurora, CO 80012
Phone (303) 367-2225

13901 E Exposition Ave
Ste 202
Denver, CO 80012
Phone (720) 413-1693

130 Rampart Way
Ste 300B
Denver, CO 80230
Phone (303) 343-4700

10700 E Geddes Ave
Ste 200
Englewood, CO 80112

10800 E Geddes Ave
Ste 300
Englewood, CO 80112
Phone (303) 791-9190

8200 E Belleview Ave
Ste 600E
Greenwood Village, CO 80111
Phone (720) 493-3406

9195 Grant St
Ste 225
Thornton, CO 80229
Phone (720) 536-2460

9195 Grant St
Ste 110
Thornton, CO 80229
Phone (720) 649-6337

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIHFBA
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: carol.johnston@ckc.eclinicaldirectplus.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0990500 CO Yes

Addresses

Primary practice location

9195 Grant St Ste 225
Thornton, CO 80229-4349

Mailing address

9195 Grant St Ste 225
Thornton, CO 80229-4349
Phone (720) 536-2460

Other identifiers

IdentifierTypeStateIssuer
276759YQPGOtherCOMEDICARE
46324879MedicaidCO
276759YQ3LOtherCOMEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 27, 2025.

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1679810337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9195 GRANT ST STE 225",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294349",
            "telephone_number": "720-536-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9195 GRANT ST STE 225",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294349",
            "telephone_number": "720-536-2460",
            "fax_number": "720-536-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "CAROL",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0990500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "276759YQPG",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46324879",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "276759YQ3L",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

All providers in Thornton, CO · Family Nurse Practitioner in Colorado

Sources for this page

Verify at the official NPI Registry.