Active NPI
Callie M Johnson, NP
- Nurse Practitioner
- Denver, CO
National Provider Identifier
1881927408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- C-APN.0000856-C-NP
- Practice address
- 2240 Buchtel Blvd Ste 104
Denver, CO 80210-3447 - Phone
- (303) 871-2205
- NPI assigned
- Sep 14, 2009
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| C-APN.0000856-C-NP | CO | MD | Nurse Practitioner |
| 284012 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George Washington University | Past | 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.
-
- Addiction Medicine (Family Medicine) Physician
- Brighton, MA
- NPI 1801804315
-
- Clinic/Center
- Washington, DC
- NPI 1760903454
-
- Clinical Medical Laboratory
- Woburn, MA
- NPI 1902834583
-
- Addiction Medicine (Family Medicine) Physician
- Brookline, MA
- NPI 1962451591
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.