MS. NINA ALEXANDRA JOHNSON PA
NPI 1104455419
Physician Assistant in Thornton, CO

Q: What is Nina Johnson's NPI number?

The NPI number for Nina Johnson is 1104455419. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Q: What is Nina Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Nina Johnson was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 07, 2020

2900 E 136TH AVE STE 201, THORNTON, CO 80241(303) 996-6005 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2025, Sep 30, 2021, Apr 7, 2020 (3 updates tracked since 2020).

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About Ms. Nina Alexandra Johnson Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. NINA ALEXANDRA JOHNSON PA (NPI 1104455419) is an individual physician assistant in Thornton, Colorado and active in the NPI registry since April 2020. She maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1104455419

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. NINA ALEXANDRA JOHNSONCredential: PA

Location Address2900 E 136TH AVE STE 201Thornton, CO 80241-3542

Mailing Address2800 7th StBoulder, CO 80304-3014 · (914) 772-1119

Phone(303) 996-6005

Sole ProprietorNo

Enumeration DateApril 7, 2020

Last NPPES UpdateApril 8, 20253 updates tracked since enumeration

NPPES CertifiedApril 8, 2025

✔ NPI 1104455419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

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.

2900 E 136TH AVE STE 201, Thornton, CO 80241

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Secondary Practice Location 1

Location 1525 E 68th StNew York, NY 10065-4870 · Phone (212) 746-5454

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALIZA ASOCAR LCSW

Social Worker (Clinical)