Individual provider Active NPI

Fatimah Aisha Johnson, NP

  • Gerontology Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1871081737
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APN.0993831-NP Issued in CO
Practice address
11111 E Mississippi Ave Ste 112
Aurora, CO 80012-3186
Phone
(303) 303-7555
Fax
(720) 749-2121
NPI assigned
Apr 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APN.0993831-NP CO Primary

Addresses

Primary practice location

11111 E Mississippi Ave Ste 112
Aurora, CO 80012-3186

Mailing address

1526 Cole Blvd Ste 300
Lakewood, CO 80401-3410
Phone (303) 379-9371

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180507002315 CO Practitioner - Nurse Practitioner 5991069577 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Jun 15, 2024 Accepting new patients
Signify Health Medical Associates of Colorado, PLLC. CurrentSince Feb 11, 2023 Accepting new patients
Keystone Home Health Agency LLC Current Accepting new patients
Keystone Home Health Agency LLC Current Accepting new patients

Locations

11111 E Mississippi Ave
Ste 112
Aurora, CO 80012
Phone (303) 755-5542

7700 E Arapahoe Rd
Ste 220
Centennial, CO 80112
Phone (303) 285-1148

7900 E Union Ave
Ste 1100
Denver, CO 80237
Phone (469) 466-7420

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1871081737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 COLE BLVD STE 300",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013410",
            "telephone_number": "303-379-9371",
            "fax_number": "303-284-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 E MISSISSIPPI AVE STE 112",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800123186",
            "telephone_number": "303-303-7555",
            "fax_number": "720-749-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "FATIMAH",
        "middle_name": "AISHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN.0993831-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.