Jaclyn Gloria Johnson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1687448 Issued in CO

Practice address

2240 Buchtel Blvd # 3N
Denver, CO 80210-3447

Phone

(303) 871-2205

Fax

(303) 871-4242

NPI assigned

May 14, 2026

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

Other names 1

• Jaclyn Bastine Former name

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": "1778716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1972432227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 BUCHTEL BLVD # 3N",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103447",
            "telephone_number": "303-871-2205",
            "fax_number": "303-871-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 BUCHTEL BLVD # 3N",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802103447",
            "telephone_number": "303-871-2205",
            "fax_number": "303-871-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JACLYN",
        "middle_name": "GLORIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1687448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYN",
            "last_name": "BASTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregory Johnson, NP
• Hannah Johnson, LCSW
• Heather Emily Johnson, MD
• Hunter Johnson
• Jack Johnson, MD
• James Johnson, MFT
• James Harold Johnson II, LPCC, MA
• Janan E Johnson, NP
• Janis Louise Johnson, M.D.
• Jean Elizabeth Johnson, LCSW

• Registered Nurse in Denver, CO
• Providers in Denver, CO by specialty
• Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.