STACIE J GUTIERREZ (NPI# 1215270855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215270855 |
| Entity Type | Individual |
| Full Name | STACIE J GUTIERREZ |
| Credential | RN |
| Practice Address |
1304 Chinook Ln Pueblo CO 81001-1851 |
| Mailing Address |
1026 W Abriendo Ave Pueblo CO 81004-1128 |
| Practice Telephone | 7195452746 |
| Practice Fax Number | 7195454100 |
| Mailing Telephone | 7195452746 |
| Mailing Fax Number | 7195454100 |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2013-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
RN.0168565 | CO | Nursing Service Providers |
| Street Address |
1304 CHINOOK LN |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033165527 | Health Solutions | Clinic/Center | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2006-05-26 |
| 1619575966 | Samantha Luken | Case Manager/Care Coordinator | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-09 |
| 1366049744 | Health Solutions | Clinic/Center | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-08 |
| 1225635113 | Health Solutions | Clinic/Center | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-10-05 |
| 1194342279 | Dominique Reaux | Social Worker | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-06 |
| 1265050306 | Rick Ramos | Case Manager/Care Coordinator | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-07-06 |
| 1033740600 | Danny Martinez | Registered Nurse | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-01-31 |
| 1235760968 | Maegan Yoder | Registered Nurse | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2020-01-31 |
| 1023673225 | Bambi Creek | Registered Nurse | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2019-05-03 |
| 1730744848 | Sidney Mcendre | Social Worker | 1304 Chinook Ln, Pueblo, CO 81001-1851 | 2019-05-03 |
| 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 | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336525930 | Cassandra Maureen Nelson | Registered Nurse | 2121 North Avenue, Grand Junction, CO 81504-6428 | 2015-08-05 |
| 1811314016 | Elisabeth Nora Cavelli | Registered Nurse | 5500 S Syracuse St, Admhn Medication Services, Littleton, CO 80120 | 2014-03-25 |
| 1982940029 | Sheila M Ash Apn, Cns, LLC | Registered Nurse | 128 N 6th St Unit D, Windsor, CO 80550-5161 | 2012-12-18 |
| 1689812018 | Betty Josephine Mcdonald-brown | Registered Nurse | 388 Talus Ln, Grand Junction, CO 81507-3507 | 2009-01-22 |
| 1669636668 | Barbara Ann Mahoney | Registered Nurse | 419 N Wahsatch Ave, Colorado Springs, CO 80903-3102 | 2008-07-18 |
| 1144422411 | Elizabeth Louise Ellis | Registered Nurse | 604 S Miller Ave, Lafayette, CO 80026-1548 | 2007-05-31 |
| 1104977180 | Linda K Kahl | Registered Nurse | 515 28 Road, Grand Junction, CO 81501 | 2007-01-16 |
| 1750452207 | Dena Lee Ridenour | Registered Nurse | 605 Miami Rd, Montrose, CO 81401-4108 | 2006-11-13 |
| 1538767389 | Jeremy Benton Cohen | Registered Nurse | 6897 Paiute Ave Ste 5, Niwot, CO 80503-7169 | 2020-10-14 |
| 1154948107 | Alexa Rae Polanski | Registered Nurse | 4353 E Colfax Ave, Denver, CO 80220-1115 | 2020-06-25 |
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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.