MS. PAMELA L KUBLY (NPI# 1053350496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053350496 |
| Entity Type | Individual |
| Full Name | MS. PAMELA L KUBLY |
| Credential | CPNP |
| Practice Address |
4112 Outlook Blvd Suite 255 Pueblo CO 81008-1667 |
| Practice Telephone | 7192537640 |
| Practice Fax Number | 7192537644 |
| Mailing Telephone | 7192537640 |
| Mailing Fax Number | 7192537644 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
59676 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 07596760 | 05 |
| Street Address |
4112 OUTLOOK BLVD SUITE 255 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447233432 | Richard N. Nanes | Emergency Medicine | 4112 Outlook Blvd, Suite 37, Pueblo, CO 81008-1667 | 2005-11-22 |
| 1487262689 | Patricia A Turner | Nurse Practitioner | 4112 Outlook Blvd, Pueblo, CO 81008-1667 | 2020-07-14 |
| 1932648490 | Jordan T. Rhodes | Physical Therapist | 4112 Outlook Blvd, Pueblo, CO 81008-1667 | 2017-02-16 |
| 1952769812 | Samantha Correia | Physical Therapist | 4112 Outlook Blvd, Pueblo, CO 81008-1667 | 2016-02-08 |
| 1003295346 | Karen Bishop | Physical Therapist | 4112 Outlook Blvd, Ste 96, Pueblo, CO 81008-1667 | 2015-05-19 |
| 1871992321 | Ryanne Leah Gromatzky | Physical Therapist | 4112 Outlook Blvd, 96, Pueblo, CO 81008-1667 | 2014-08-21 |
| 1801218284 | Pamela Drummond | Registered Nurse | 4112 Outlook Blvd, Suite 37, Pueblo, CO 81008-1667 | 2014-01-20 |
| 1568896959 | Sarah Elizabeth Whiteman | Physical Therapist | 4112 Outlook Blvd, Suite 96, Pueblo, CO 81008-1667 | 2013-08-21 |
| 1336487297 | Leslie Dallas | Physical Therapist | 4112 Outlook Blvd, Suite 96, Pueblo, CO 81008-1667 | 2013-01-27 |
| 1780942441 | Betty Ann Massino | Massage Therapist | 4112 Outlook Blvd, Suite #96, Pueblo, CO 81008-1667 | 2012-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083222897 | Jennifer Diane Longshore | Nurse Practitioner | 1406 W 17th St, Pueblo, CO 81003-1927 | 2020-07-17 |
| 1972071306 | Brooke Erin Douglas | Nurse Practitioner | 332 S Orchard Springs Dr Ste 150, Pueblo, CO 81007-6154 | 2018-11-03 |
| 1437600608 | Diana Karnilaw | Nurse Practitioner | 1619 N Greenwood St, Suite 400, Pueblo, CO 81003-2644 | 2016-10-21 |
| 1639416555 | Stephanie L Salbato | Nurse Practitioner | 332 S Orchard Springs Dr, Suite 150, Pueblo, CO 81007-6151 | 2013-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832981 | 4 Corners Children's Clinic | Nurse Practitioner | 555 Rivergate Ste B1-109, Durango, CO 81301-7473 | 2020-08-22 |
| 1922630995 | Ashley Ruth Lahman | Nurse Practitioner | 162 Tartan Dr, Johnstown, CO 80534-7429 | 2020-02-07 |
| 1912543778 | Lauren Wollenzin | Nurse Practitioner | 3548 Dexter Ct, Denver, CO 80207-1050 | 2019-11-26 |
| 1386209294 | Rachel Unruh | Nurse Practitioner | 4880 Thompson Pkwy # 116, Johnstown, CO 80534-6409 | 2019-05-06 |
| 1083186407 | Megan Brady | Nurse Practitioner | 454 S Lafayette St, Denver, CO 80209-2501 | 2018-12-24 |
| 1093299679 | Brittany Michele Nielsen | Nurse Practitioner | 9141 Grant St Ste 115, Thornton, CO 80229 | 2018-09-19 |
| 1073010922 | Amanda Aung | Nurse Practitioner | 7240 Trione Ln, Fountain, CO 80817-2805 | 2018-04-08 |
| 1245737279 | Rebecca A Somershoe | Nurse Practitioner | 8200 E Belleview Ave Ste 510e, Greenwood Village, CO 80111-2808 | 2018-04-06 |
| 1629596168 | Alaina C Vargas | Nurse Practitioner | 502 Ludwig Drive, Bayfield, CO 81122 | 2017-09-05 |
| 1629592803 | Karly Yingst | Nurse Practitioner | 1516 Morning Glow Dr, Windsor, CO 80550 | 2017-07-31 |
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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.