CORAL BREANNE MARTINEZ (NPI# 1013486299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013486299 |
| Entity Type | Individual |
| Full Name | CORAL BREANNE MARTINEZ |
| Practice Address |
1600 N Grand Ave Ste 150 Pueblo CO 81003-2755 |
| Practice Telephone | 7195957680 |
| Mailing Telephone | 7195957680 |
| Enumeration Date | 2018-11-17 |
| Last Update Date | 2018-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
APN.0994299-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568712933 | Coral Del Mar Martinez | Speech-Language Pathologist | Ave. Sanchez Osorio -5h-5, Villa Fontana Park, Carolina, PR 00988-9719 | 2012-09-13 |
| 1245870286 | Coral N Martinez | Counselor | 222 W Valerio St, Santa Barbara, CA 93101-2930 | 2020-01-07 |
| Street Address |
1600 N GRAND AVE STE 150 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81003-2755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902839087 | Barry M Rapp | Internal Medicine | 1600 N Grand Ave Ste 150, Pueblo, CO 81003-2755 | 2006-07-09 |
| 1619369576 | Joseph Chapman | Student in an Organized Health Care Education/Training Program | 1600 N Grand Ave Ste 150, Pueblo, CO 81003-2755 | 2015-03-02 |
| 1336163880 | Parkview Medical Center Inc | Pediatrics | 1600 N Grand Ave Ste 150, Pueblo, CO 81003-2755 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
| 1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
| 1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
| 1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
| 1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
| 1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
| 1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
| 1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
| 1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
| 1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
| Find all providers in zip 81003 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790749778 | Jaydene Mason | Nurse Practitioner | 2600 Oakshire Ln, Pueblo, CO 81001-5671 | 2006-04-14 |
| 1700445467 | Liberty Angel Ruiz | Nurse Practitioner | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2019-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912504978 | Mary Margaret Krzystowczyk | Nurse Practitioner | 930 N Logan St Apt 1/2, Denver, CO 80203-3193 | 2020-10-02 |
| 1225635477 | Shannan Rene Bryant | Nurse Practitioner | 950 E Harvard Ave Ste 320, Denver, CO 80210-7005 | 2020-10-01 |
| 1902439029 | Michelle R Straight | Nurse Practitioner | 4141 Pony Tracks Dr, Colorado Springs, CO 80922-3065 | 2020-02-17 |
| 1295240380 | Audra Roosen | Nurse Practitioner | 1221 Timbervale Trl, Highlands Ranch, CO 80129-6946 | 2017-12-11 |
| 1134654916 | Jennifer Kahan | Nurse Practitioner | 18515 Peaceful Pines Rd, Monument, CO 80132-8368 | 2017-04-28 |
| 1376918722 | Rhiannon Lori Sunday | Nurse Practitioner | 8890 N. Union Blvd., Suite 185, Colorado Springs, CO 80920 | 2015-12-10 |
| 1467846600 | Cammie Rausch | Nurse Practitioner | 3885 Upham St Ste 100, Wheat Ridge, CO 80033-4800 | 2015-03-25 |
| 1992145734 | Stewart C Eldridge | Nurse Practitioner | 6947 Metropolitan St, Colorado Springs, CO 80911-2715 | 2013-06-25 |
| 1962745448 | Sarah Anne Hicks | Nurse Practitioner | 1265 S Broadway, Denver, CO 80210-1503 | 2013-04-03 |
| 1104102003 | Tricia Lea Vath | Nurse Practitioner | 8510 Bryant St Ste 350, Westminster, CO 80031-3845 | 2011-10-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.