EUGENIA WEAVER (NPI# 1194263723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194263723 |
| Entity Type | Individual |
| Full Name | EUGENIA WEAVER |
| Practice Address |
41 Montebello Rd Suite 200 Pueblo CO 81001-1379 |
| Practice Telephone | 7195452746 |
| Practice Fax Number | 7195429638 |
| Mailing Telephone | 7195452746 |
| Mailing Fax Number | 7195429638 |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2017-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
41 MONTEBELLO RD SUITE 200 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679674147 | Jason Chippeaux | Social Worker | 41 Montebello Rd, Suite 202, Pueblo, CO 81001-1379 | 2006-09-26 |
| 1700483187 | Health Solutions | Clinic/Center | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2020-10-08 |
| 1952908840 | Health Solutions | Clinic/Center | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2020-10-05 |
| 1912465493 | Jim Gray | Social Worker | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2019-03-04 |
| 1528524592 | Christine Foster | Registered Nurse | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2019-02-14 |
| 1750846192 | Caitlin Juliano | Counselor | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2019-02-08 |
| 1518485069 | Lisa Noel Ulibarri | Registered Nurse | 41 Montebello Rd, Pueblo, CO 81001-1379 | 2017-09-05 |
| 1417483835 | Melissa Bruce | Case Manager/Care Coordinator | 41 Montebello Rd, Suite Ll1, Pueblo, CO 81001-1379 | 2017-05-04 |
| 1265972780 | Dirk Rasmussen | Registered Nurse | 41 Montebello Rd, Suite Ll1, Pueblo, CO 81001-1379 | 2017-03-02 |
| 1922546555 | Troy Ruffin | Peer Specialist | 41 Montebello Rd, Suite 200, Pueblo, CO 81001-1379 | 2017-02-02 |
| Find all providers in the same location | ||||
| 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 | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790299725 | Mi Casa Transitional Services Inc | Peer Specialist | 1611 Crestmoor Dr, Pueblo, CO 81001-2727 | 2017-11-29 |
| 1679196844 | Ashley Warner | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2020-05-22 |
| 1194350322 | Shannon Brooks | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2020-03-09 |
| 1790334324 | Chelsea Bruntmyer | Peer Specialist | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2019-09-06 |
| 1346802709 | Zinnia Martinez | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2019-07-05 |
| 1639637127 | Lisa Ochoa-lloyd | Peer Specialist | 1310 Chinook Ln, Pueblo, CO 81001-1851 | 2019-03-04 |
| 1366949422 | Abraham Ortiz | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-04-06 |
| 1083110183 | Lawrence Chavez Jr. | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-04-05 |
| 1811493919 | Robert Trujillo | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-04-05 |
| 1659877751 | Tiffany Post | Peer Specialist | 2003 E 4th St, Pueblo, CO 81001-4150 | 2018-04-05 |
| 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.