Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Nicole Johnson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710207634

Dr. Nicole Johnson, MD is a Family Practice in Fort Carson, Colorado. Graduated from Albert Einstein College of Medicine of Yeshiva University in 2010, 16 years ago. Offers telehealth. Licensed in Arizona and Colorado.

Years since qualifying
16
Trained at
Albert Einstein College of Medicine of Yeshiva University
Licensed in
AZ, CO
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1650 Cochrane Cir Bldg 7503
Fort Carson, CO 80913
Phone: (719) 524-4068
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DR.0054891 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Family Medicine Physician Taxonomy 207Q00000X · Licence 45635 (AZ)

Record details

NPI number1710207634
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 2, 2010
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024
Mailing address101 Mission St Ste 800, San Francisco, CA 94105-1744

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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