Kelsey Lorraine Johnson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0194631 Issued in CO

Practice address

6450 S Boston St
Greenwood Village, CO 80111-5336

Phone

(951) 312-5657

NPI assigned

Mar 13, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1932440096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 S EMPORIA WAY",
            "address_2": "T101",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800147244",
            "telephone_number": "951-312-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 S BOSTON ST",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801115336",
            "telephone_number": "951-312-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KELSEY",
        "middle_name": "LORRAINE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "0194631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "0194631",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Lee Johnson, D.C.
• David Johnson, PT, DPT, ATC
• Dean Earl Johnson, D.C.
• Jarrod B Johnson
• Karen Johnson
• Lanissa Johnson
• Lauren Johnson, LSW
• Matthew David Johnson, MD
• Paige Johnson
• Randall E Johnson, AA-C

• Registered Nurse in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.