MRS. CAROLYN JEAN JOHNSON MD NPI 1073697447

NPI Information

NPI: 1073697447
Provider Name: MRS. CAROLYN JEAN JOHNSON, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
NAVAJO ROUTE 64
TSAILE, AZ
ZIP 86556
Phone: (928) 724-3600
Get Directions

MRS. Carolyn Jean Johnson, MD is a family medicine in Tsaile, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MRS. Carolyn Jean Johnson, MD NPI is 1073697447. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

NAVAJO ROUTE 64
TSAILE, AZ
ZIP 86556
Phone: (928) 724-3600
Fax: (928) 724-3605

The NPI 1073697447 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 9/15/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		39380	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	D43181	MEDICARE UPIN
2	91086678	MEDICAID	COLORADO
3	46491	MEDICARE ID-TYPE UNSPECIFIED	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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