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KATHRYN MANDELBAUM JOHNSON PA-C
NPI 1205911328
Physician Assistant - Medical in Boulder, CO

Active since October 26, 2006
2575 SPRUCE ST, BOULDER, CO 80302(303) 449-3594(303) 449-3112 Get Directions Write a Review

NPPES record last updated: October 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathryn Mandelbaum Johnson Pa-c NPPES

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

KATHRYN MANDELBAUM JOHNSON PA-C (NPI 1205911328) is an individual medical provider in Boulder, Colorado, licensed in Colorado (3470) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1205911328
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATHRYN MANDELBAUM JOHNSONCredential: PA-C
Location Address2575 SPRUCE STBoulder, CO 80302-3806
Mailing Address345 Maxwell AveBoulder, CO 80304-3972 · (303) 544-5783 · Fax (303) 441-2388
Phone(303) 449-3594
Fax(303) 449-3112
Sole ProprietorNo
Enumeration DateOctober 26, 2006
Last NPPES UpdateOctober 8, 2012
✔ NPI 1205911328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CO · 3470
2575 SPRUCE ST, Boulder, CO 80302
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Other Providers at the Same Location NPPES 7

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

HILLARY L BROWNE MD
Internal Medicine
2575 SPRUCE ST
BOULDER, CO 80302
Boulder County (303) 449-3594
SPRUCE STREET INTERNAL MEDICINE
Specialist
2575 SPRUCE ST
BOULDER, CO 80302
Boulder County (303) 449-3594
REBECCA ANN KASPERBAUER PA-C
Physician Assistant
2575 SPRUCE ST
BOULDER, CO 80302
Boulder County (303) 449-3594
MARY LOUISE LANGLOIS MD
Internal Medicine
2575 SPRUCE ST
BOULDER, CO 80302
Boulder County (303) 449-3594
DAWN RENEE HUTCHINSON MD
Internal Medicine
2575 SPRUCE ST
BOULDER, CO 80302
Boulder County (303) 415-3875
DR. SHEILA LT LING MD
Internal Medicine
2575 SPRUCE ST
BOULDER, CO 80302
Boulder County (303) 415-3875
BOULDER COMMUNITY HEALTH
Clinic/Center (Primary Care)
2575 SPRUCE ST
BOULDER, CO 80302
Boulder County (303) 415-3875

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn Johnson's NPI number?

The NPI number for Kathryn Johnson is 1205911328. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is Kathryn Johnson located?

Kathryn Johnson practices at 2575 Spruce St, Boulder, CO 80302. The listed phone number is (303) 449-3594.

What is Kathryn Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Kathryn Johnson was last updated on October 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.