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

Tracy Jo Johnson, PA-C

Individual provider Surgical Physician Assistant · NPI 1184709347

Tracy Jo Johnson, PA-C is a Surgical Physician Assistant in Lone Tree, Colorado. Licensed in Colorado. Registered with an NPI since 2006.

Licensed in
CO
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10535 Park Meadows Blvd Ste 102
Lone Tree, CO 80124-8456
Phone: (303) 695-6106
Fax: (303) 695-1211
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0001221 (CO)
Surgical Physician Assistant Taxonomy 363AS0400X (CO)

Record details

NPI number1184709347
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 26, 2006
Last updated in NPPESMay 15, 2023
Certification dateMay 15, 2023
Mailing address25 Crossroads Dr Ste 306, Owings Mills, MD 21117-5437

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