SAMANTHA PINO (NPI# 1083220099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083220099 |
| Entity Type | Individual |
| Full Name | SAMANTHA PINO |
| Practice Address |
41 Montebello Rd Ste 124 Pueblo CO 81001-1366 |
| Mailing Address |
41 Montebello Rd Ste 204 Pueblo CO 81001-1379 |
| Practice Telephone | 7195452746 |
| Mailing Telephone | 7195452746 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ACA.008003 | CO | Behavioral Health & Social Service Providers |
| Street Address |
41 MONTEBELLO RD STE 124 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391662 | Jenna Duran | Counselor | 41 Montebello Rd Ste 124, Pueblo, CO 81001-1366 | 2020-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881182830 | Manuel Roman Martinez I | Counselor | 720 N Main St Ste 240, Pueblo, CO 81003-3046 | 2018-04-25 |
| 1952820292 | Victoria Lynn Wallace | Counselor | 79 Bonnymede Rd, Apt 104, Pueblo, CO 81001-8100 | 2017-09-19 |
| 1548703937 | Bradley James Rusovick | Counselor | 56 Duke St, 200 West 'b' Street, Suite 226, Pueblo, CO 81005-1604 | 2016-12-02 |
| 1225393267 | Michael Todd Kragt | Counselor | 1515 Fortino Blvd, Suite 120, Pueblo, CO 81008-1664 | 2012-07-05 |
| 1356603229 | Tracy D Wilson | Counselor | 41 Montebello Rd Ste 104, Pueblo, CO 81001-1366 | 2012-06-15 |
| 1497011613 | Sarah Nicole Sandstrom | Counselor | 560 S Bond Dr, Pueblo, CO 81007-1697 | 2012-04-02 |
| 1093088890 | Oasis Counseling, A Pllc | Counselor | 200 W 29th St, Pueblo, CO 81008-1004 | 2012-02-10 |
| 1083918247 | Leo Paul Arguello | Counselor | 1711 East Evans Avenue, Ctp, M-irt, Pueblo, CO 81004 | 2011-01-03 |
| 1689831737 | Matthew Anthony Capranelli | Counselor | 719 W 29th St, Pueblo, CO 81008-1183 | 2008-05-16 |
| 1407051204 | Eugene Espinosa | Counselor | Crossroads Turning Points, Inc, 3470 Baltimore Ave, Pueblo, CO 81008 | 2007-06-20 |
| Find all providers in PUEBLO | ||||
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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.