Healthcare Provider Details

I. General information

NPI: 1780977868
Provider Name (Legal Business Name): KATE JOHNSON DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2011
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3880 GRANT AVE STE 140
LOVELAND CO
80538-8433
US

IV. Provider business mailing address

2001 S SHIELDS ST STE F
FORT COLLINS CO
80526-1833
US

V. Phone/Fax

Practice location:
  • Phone: 970-667-0769
  • Fax:
Mailing address:
  • Phone: 970-493-4660
  • Fax: 970-493-6710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number151
License Number StateWY
# 2
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number0000740
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: