MS. BETTY J KELLY (NPI# 1245437482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245437482 |
| Entity Type | Individual |
| Full Name | MS. BETTY J KELLY |
| Practice Address |
1711 E Evans Ave Pueblo CO 81004-3349 |
| Mailing Address |
1802 Jerry Murphy Rd Pueblo CO 81001-1506 |
| Practice Telephone | 7195619850 |
| Practice Fax Number | 7195647212 |
| Mailing Telephone | 7195453547 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
4464 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861651747 | Betty Kelly | Case Manager/Care Coordinator | 1217 Stone St., Jonesboro, AR 72401-4455 | 2008-06-05 |
| 1861411969 | Betty Ann Kelly | Family Medicine | Bldg. #19, West Rd., Mitchel Complex Family Health Center, Garden City, NY 11530 | 2006-07-19 |
| Street Address |
1711 E EVANS AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-3349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124237730 | Larry Edward Terrell | Specialist | 1711 E Evans Ave, Pueblo, CO 81004-3349 | 2007-05-21 |
| 1922620699 | Crossroads' Turning Points | Rehabilitation, Substance Use Disorder Unit | 1711 E Evans Ave, Pueblo, CO 81004-3349 | 2020-05-15 |
| 1598222317 | Magen Purvis | Registered Nurse | 1711 E Evans Ave, Pueblo, CO 81004-3349 | 2019-02-28 |
| 1427515220 | Tiffany Getz | Licensed Practical Nurse | 1711 E Evans Ave, Pueblo, CO 81004-3349 | 2019-02-27 |
| 1063979862 | Chrystal Moon Nystuen | Licensed Practical Nurse | 1711 E Evans Ave, Pueblo, CO 81004-3349 | 2019-02-27 |
| 1962813782 | Karl Lujan | Counselor | 1711 E Evans Ave, Pueblo, CO 81004-3349 | 2014-05-14 |
| 1902216450 | Danielle Sena | Counselor | 1711 E Evans Ave, Pueblo, CO 81004-3349 | 2014-05-06 |
| 1447533609 | Crossroads Turning Points | Substance Abuse Rehabilitation Facility | 1711 E Evans Ave, 4 Montelbello Road, Pueblo, CO 81004-3349 | 2011-09-23 |
| 1821253881 | Larry Freeburn | Counselor | 1711 E Evans Ave, Pueblo, CO 81004-3349 | 2008-07-18 |
| 1215133608 | Nita Morano | Counselor | 1711 E Evans Ave, Pueblo, CO 81004-3349 | 2007-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220099 | Samantha Pino | Counselor | 41 Montebello Rd Ste 124, Pueblo, CO 81001-1366 | 2020-09-16 |
| 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 |
| 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.