Individual provider Active NPI

Callie M Johnson, NP

  • Nurse Practitioner
  • Denver, CO
National Provider Identifier
1881927408
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
C-APN.0000856-C-NP Issued in CO
Practice address
2240 Buchtel Blvd Ste 104
Denver, CO 80210-3447
Phone
(303) 871-2205
NPI assigned
Sep 14, 2009
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X C-APN.0000856-C-NP CO Primary
Adult Health Nurse Practitioner 363LA2200X 284012 MA

Addresses

Primary practice location

2240 Buchtel Blvd Ste 104
Denver, CO 80210-3447

Mailing address

2240 Buchtel Blvd Ste 104
Denver, CO 80210-3447
Phone (303) 871-2205

Other practice location 1

Marvin Center Ground Floor 800 21st NW
Washington, DC 20052-1865
Phone (202) 994-5300

Other practice location 2

3 Baldwin Green Cmn
Suite 104
Woburn, MA 01801-1865
Phone (781) 376-1771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-APN.0000856-C-NPCOMDNurse Practitioner
284012MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
George Washington University PastSince Jul 24, 2022 Accepting new patients
Brighton Family Practice, Inc Past Accepting new patients
National Toxicology Services, Inc Past Accepting new patients
Preventive Medicine Associates Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1881927408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 BUCHTEL BLVD STE 104",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103447",
            "telephone_number": "303-871-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 BUCHTEL BLVD STE 104",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103447",
            "telephone_number": "303-871-2205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Marvin Center Ground Floor 800 21st NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200521865",
            "country_code": "US",
            "telephone_number": "202-994-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Baldwin Green Cmn",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Woburn",
            "state": "MA",
            "postal_code": "018011865",
            "country_code": "US",
            "telephone_number": "781-376-1771",
            "fax_number": "781-569-0592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CALLIE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0000856-C-NP",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "284012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.