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

Dr. Renee Lyn Johnson, MD

Individual provider Pediatrics Physician · NPI 1609018498

Dr. Renee Lyn Johnson, MD is a Pediatrics Physician in Great Falls, Montana. Works from 3 locations. Licensed in Montana, New Mexico and Utah.

Licensed in
MT, NM, UT
In the registry since
2009
Specialties on file
4
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

401 15th Ave S Ste 206
Great Falls, MT 59405-4334
Phone: (406) 727-2121
Fax: (406) 452-5397
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 115 4th St S, Great Falls, MT 59401-3618 — (406) 454-6973
  • 601 1st Ave N, Great Falls, MT 59401-2510 — (406) 454-6973

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MED-PHYS-LIC-76923 (MT)
Pediatrics Physician Taxonomy 208000000X · Licence 7771250-1250 (UT)
Pediatrics Physician Taxonomy 208000000X · Licence MED-PHYS-LIC-76293 (MT)
Pediatrics Physician Taxonomy 208000000X · Licence MD2012-0854 (NM)

Record details

NPI number1609018498
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2009
Last updated in NPPESJuly 26, 2022
Certification dateJuly 26, 2022
Mailing address401 15th Ave S Ste 206, Great Falls, MT 59405-4334

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