Johanna Peltier, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2593 Park LN
Lafayette, CO 80026-3172

Phone

(720) 745-3297

NPI assigned

Feb 18, 2020

Last updated

Jan 4, 2024By 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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tru Community Care

  • Community Based Hospice Care Agency
  • Lafayette, CO
  • NPI 1477556934
  Medicare reassignment
• Tru Community Care

  dba Tru Pace

  • PACE Provider Organization
  • Lafayette, CO
  • NPI 1083073050
  NPD (past)

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1700419843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2593 PARK LN",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2593 PARK LN",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263172",
            "telephone_number": "720-745-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTIER",
        "first_name": "JOHANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyson E Peck, RPH
• Pediatric Dental Group of Lafayette
• Pediatric Speech Associates
• Pamela M Pedler
• Peek Optometry, PLLC (Peek to Peak Vision & Boutique)
• Katherine Elise Pemberton, MD
• Daniel Joseph Penn, LPC
• Kathleen K Perea, RPH
• Angelica Monique Pereda, RN
• Citlalli Perez Antillon

• Physician Assistant in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.