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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130503000221 | CO | Practitioner - Nurse Practitioner | 3971740242 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0990500 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Nephrologists, PC | Current |
Accepting new patients | |
| Denver Nephrologists PC | Current | Accepting new patients | |
| Ria Endovascular, LLC | Current |
Accepting new patients | |
| Denver Nephrologists, PC | Current |
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
- https://fhir4.healow.com/fhir/r4/AIHFBA
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- carol.johnston@ckc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 276759YQPG | Other | CO | MEDICARE |
| 46324879 | Medicaid | CO | |
| 276759YQ3L | Other | CO | MEDICARE |
NPI Registry JSON
{
"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
- Nikki Jo Johnson
- Nina Alexandra Johnson
- Raquel Simey Johnson
- Samantha Kate Johnson
- Shannon Johnstad
- Travis Johnston
- Jonathan H Woodcock MD & Assoc PC
- Austin Taylor Jones
- Christopher Brian Jones
- Debra Lynn Jones
All providers in Thornton, CO · Family Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.