LEAH JOHNSON (NPI# 1154688620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154688620 |
| Entity Type | Individual |
| Full Name | LEAH JOHNSON |
| Credential | PA-C |
| Practice Address |
2767 Janitell Rd Colorado Springs CO 80906-4102 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 7193652888 |
| Practice Fax Number | 7193651577 |
| Mailing Telephone | 9706244036 |
| Mailing Fax Number | 9704904378 |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2019-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.0003878 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 0010-03300 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 0003878 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 83083774 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073110110 | Leah Grace Johnson | Marriage & Family Therapist | 14813 Moon Daisy Dr, Edmond, OK 73013-1466 | 2020-10-01 |
| 1699309864 | Leah I Johnson | Counselor | 3412 Opequon Dr, Raleigh, NC 27610-6918 | 2020-02-26 |
| 1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
| 1174868780 | Leah Johnson | Technician/Technologist | 111 Old Kyle Rd, 112, Wimberley, TX 78676-2830 | 2012-12-07 |
| 1114207966 | Leah M Johnson | Physical Therapy Assistant | 635 E 5th St, Watsonville, CA 95076-4032 | 2011-08-25 |
| 1932499118 | Leah Renee Johnson | Physical Therapist | 180 W Weisheimer Rd, Columbus, OH 43214-2533 | 2011-04-09 |
| 1063724375 | Leah Kelly Johnson | Licensed Practical Nurse | 1011 S River St, Franklin, OH 45005-2748 | 2010-07-02 |
| 1780141044 | Leah Harper Johnson | Nurse Practitioner | 823 Grand Ave, Yazoo City, MS 39194-3233 | 2019-02-22 |
| 1285107359 | Leah Johnson | Counselor | 1600 7th Ave S, Birmingham, AL 35233 | 2019-01-10 |
| 1528588084 | Leah Johnson | Pharmacist | 1706 Military St S, Hamilton, AL 35570-5021 | 2017-06-26 |
| Street Address |
2767 JANITELL RD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-4102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023006996 | Renee A. Barall | Nurse Practitioner | 2767 Janitell Rd, Colorado Springs, Colorado Springs, CO 80906-4102 | 2005-10-13 |
| 1942815246 | Poudre Valley Medical Group, LLC | Clinic/Center | 2767 Janitell Rd, Colorado Springs, CO 80906-4102 | 2020-09-14 |
| 1912476292 | Nathan Douglas Bennion | Physician Assistant | 2767 Janitell Rd, Colorado Springs, CO 80906-4102 | 2018-11-16 |
| 1184132771 | Amanda Lee Bishop | Nurse Practitioner | 2767 Janitell Rd, Colorado Springs, CO 80906-4102 | 2018-01-17 |
| 1235647066 | Jodi Marie Killilea | Registered Nurse | 2767 Janitell Rd, Colorado Springs, CO 80906-4102 | 2018-01-15 |
| 1255859526 | James Bradley Hsueh | Physician Assistant | 2767 Janitell Rd, Colorado Springs, CO 80906-4102 | 2017-09-06 |
| 1295250983 | Robert Edward Graves | Nurse Practitioner | 2767 Janitell Rd, Colorado Springs, CO 80906-4102 | 2017-08-03 |
| 1811432099 | Sarah Praner | Nurse Practitioner | 2767 Janitell Rd, Colorado Springs, CO 80906-4102 | 2016-12-27 |
| 1710357462 | Amber Gates | Nurse Practitioner | 2767 Janitell Rd, Colorado Springs, CO 80906-4102 | 2015-10-06 |
| 1104295195 | Keri Griffith | Nurse Practitioner | 2767 Janitell Rd, Colorado Springs, CO 80906-4102 | 2015-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797339 | Michael Crise | Behavior Technician | 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 | 2019-12-11 |
| 1730720541 | Amanda Salinas | Massage Therapist | 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 | 2019-10-02 |
| 1225511488 | Sheila Meggison | Massage Therapist | 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 | 2018-09-12 |
| 1316429756 | Vivus Counseling Services LLC | Counselor | 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 | 2018-09-01 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1982103875 | Savannah Adeline Rentrop | Behavior Technician | 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 | 2018-02-06 |
| 1205335288 | Ross Knowlton | Behavior Technician | 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1942709845 | Adrienne Bohlen | Behavior Technician | 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 | 2018-02-06 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1225568470 | Larry Alwine | Counselor | 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 | 2017-06-19 |
| Find all providers in zip 80906 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265054431 | Kimberly Goyack | Physician Assistant | 10807 New Allegiance Dr Ste 450, Colorado Springs, CO 80921-3722 | 2020-05-11 |
| 1891316089 | Chase Devalk | Physician Assistant | 560 Thames Dr, Colorado Springs, CO 80906-4839 | 2020-04-29 |
| 1841846193 | Caroline Selting | Physician Assistant | 2255 Oak Hills Dr, Colorado Springs, CO 80919-3477 | 2019-08-13 |
| 1578121935 | Raymond Shaun Wolff | Physician Assistant | 6936 Shea Dr Apt A, Colorado Springs, CO 80902-7334 | 2019-05-31 |
| 1063996288 | Matthew Steven Chernikovich | Physician Assistant | 5134 N Nevada Ave Ste 100, Colorado Springs, CO 80918-8699 | 2018-09-24 |
| 1649798018 | Adam Robert Sahlberg | Physician Assistant | 10222 Desert Bloom Way, Colorado Springs, CO 80925-1345 | 2017-09-06 |
| 1851821334 | Jennifer Abbott | Physician Assistant | 6071 E Woodmen Rd Ste Unit300, Colorado Springs, CO 80923-2607 | 2017-06-15 |
| 1912431081 | Brandon Eliott Griffis | Physician Assistant | 3803 N Chestnut St, Colorado Springs, CO 80907-4107 | 2017-04-16 |
| 1508309709 | Aleksandr M Kaplun | Physician Assistant | 155 Printers Pkwy Ste 23, Colorado Springs, CO 80910-6100 | 2016-11-21 |
| 1972059038 | Shelby Lynne Ransdell | Physician Assistant | 116 Sherri Dr, Colorado Springs, CO 80911-1447 | 2016-08-29 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.