MRS. KAREN RAE DAVIS (NPI# 1326011768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326011768 |
| Entity Type | Individual |
| Full Name | MRS. KAREN RAE DAVIS |
| Credential | FNP |
| Practice Address |
4112 Outlook Blvd Room 342 Pueblo CO 81008-1667 |
| Mailing Address |
1108 W Broken Bow Dr Pueblo West CO 81007-2073 |
| Practice Telephone | 7195531021 |
| Practice Fax Number | 7195531104 |
| Mailing Telephone | 7196471211 |
| Mailing Fax Number | 7195531104 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN 81812 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314783 | Karen Davis | Behavior Technician | 13501 Somerset St, Hesperia, CA 92344-8434 | 2020-10-22 |
| 1932710159 | Karen Johnson Davis | Counselor | 3719 Micah Ct, Ellenwood, GA 30294-6224 | 2020-08-11 |
| 1386253227 | Karen Michele Davis | Social Worker | 2302 England St Apt C, Huntington Beach, CA 92648-2936 | 2020-07-27 |
| 1295368595 | Karen Davis | Occupational Therapist | 9719 Candelaria Rd Ne # 20945, Albuquerque, NM 87111-9211 | 2020-02-15 |
| 1912481623 | Karen Davis | Behavior Technician | 1704 Nina Dr, Killeen, TX 76549-2228 | 2018-09-18 |
| 1649708108 | Karen Elizabeth Davis | Nurse Practitioner | 109 Meadow Glen Ct, Aledo, TX 76008-6918 | 2017-05-30 |
| 1316494693 | Karen Davis | Counselor | 702 Donaldson Ave Ste 207, San Antonio, TX 78201-4851 | 2016-09-05 |
| 1881050656 | Karen M Davis | Counselor | 1 Fitzwatertown Rd, Willow Grove, PA 19090-3028 | 2016-01-11 |
| 1457776551 | Karen Lynn Davis | Speech-Language Pathologist | 4600 Detroit Ave, Max Hayes High School, Cleveland, OH 44102-2215 | 2014-02-26 |
| 1427391820 | Karen Jeanine Davis | Registered Nurse | 5603 E 2nd St, Long Beach, CA 90803-3905 | 2013-04-03 |
| Street Address |
4112 OUTLOOK BLVD ROOM 342 |
| 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 | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285288977 | Megan Jay Warden | Nurse Practitioner | 2099 W Us Highway 50 Ste 150-b, Pueblo, CO 81008-1665 | 2019-07-31 |
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1497178172 | Theresa Kuhn | Nurse Practitioner | 4112 Outlook Blvd Ste 325, Pueblo, CO 81008-1667 | 2014-01-30 |
| 1952579773 | Karen Delacruz | Nurse Practitioner | 902 Lakeview, Pueblo, CO 81004 | 2008-02-14 |
| 1700082021 | Christine Marie Cruz | Nurse Practitioner | 1406 W 17th St, Pueblo, CO 81003-1927 | 2007-06-24 |
| 1063554426 | Jay A Balestrieri | Nurse Practitioner | 400 W 17th St, Pueblo, CO 81003-2649 | 2007-02-13 |
| 1447331830 | Deborah Lynn Chase | Nurse Practitioner | 1925 E Orman Ave Ste 440, Pueblo, CO 81004-3551 | 2006-10-18 |
| 1043276686 | Carla R Beswick | Nurse Practitioner | 4130 N Freeway Rd, Pueblo, CO 81008-2064 | 2006-04-22 |
| 1174124838 | Jenna Rawlings | Nurse Practitioner | 945 Desert Flower Blvd, Pueblo, CO 81001-1181 | 2020-11-07 |
| 1225678261 | Jennifer Castro | Nurse Practitioner | 300 Colorado Ave, Pueblo, CO 81004-2006 | 2020-01-07 |
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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.